ROSE MARIE MCINTOSH FNPC CS NPI 1063470417

NPI Information

NPI: 1063470417
Provider Name: ROSE MARIE MCINTOSH, FNPC CS
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
821 N NELLIS BLVD STE 100
LAS VEGAS, NV
ZIP 89110
Phone: (702) 438-4003
Get Directions

Rose Marie Mcintosh, FNPC CS is a family nurse practitioner in Las Vegas, NV. Rose Marie Mcintosh, FNPC CS NPI is 1063470417. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

821 N NELLIS BLVD STE 100
LAS VEGAS, NV
ZIP 89110-387
Phone: (702) 438-4003
Fax: (702) 438-0555

The NPI 1063470417 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/3/2006 and was last updated on 5/16/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		0024114970	VIRGINIA	No
2	363L00000X	Nurse Practitioner		13826	CALIFORNIA	No
3	363LF0000X	Nurse Practitioner	Family	819101	NEVADA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8919101	OTHER	NEVADA	STATE LICENSE
2	1063470417	MEDICAID	NEVADA
3	ZZZ31887Z	OTHER	CALIFORNIA	CORPORATE PTAN NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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