Provider Demographics
NPI:1831239524
Name:NOWINS, ROSEMARY A (MD)
Entity type:Individual
Prefix:DR
First Name:ROSEMARY
Middle Name:A
Last Name:NOWINS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MARIA
Other - Middle Name:
Other - Last Name:NOWINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3340 TOPAZ ST STE 100
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89121-3906
Mailing Address - Country:US
Mailing Address - Phone:702-272-1551
Mailing Address - Fax:702-272-1554
Practice Address - Street 1:3340 TOPAZ ST STE 100
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89121-3906
Practice Address - Country:US
Practice Address - Phone:702-272-1551
Practice Address - Fax:702-272-1554
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV6311207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV595921OtherAETNA
NV595921OtherAETNA
E93915Medicare UPIN