Provider Demographics
NPI:1912460049
Name:NARVESON, ROSALIE M
Entity Type:Individual
Prefix:
First Name:ROSALIE
Middle Name:M
Last Name:NARVESON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 E 2ND ST
Mailing Address - Street 2:
Mailing Address - City:BLUE EARTH
Mailing Address - State:MN
Mailing Address - Zip Code:56013-2401
Mailing Address - Country:US
Mailing Address - Phone:952-290-3376
Mailing Address - Fax:
Practice Address - Street 1:515 E 2ND ST
Practice Address - Street 2:
Practice Address - City:BLUE EARTH
Practice Address - State:MN
Practice Address - Zip Code:56013-2401
Practice Address - Country:US
Practice Address - Phone:952-290-3376
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-06
Last Update Date:2019-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide