Provider Demographics
NPI:1982565198
Name:KLEIN, ROSE M (RN)
Entity type:Individual
Prefix:
First Name:ROSE
Middle Name:M
Last Name:KLEIN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 DODGE ST # A1
Mailing Address - Street 2:
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52003-7159
Mailing Address - Country:US
Mailing Address - Phone:563-588-5520
Mailing Address - Fax:563-588-5521
Practice Address - Street 1:2600 DODGE ST # A1
Practice Address - Street 2:
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52003-7159
Practice Address - Country:US
Practice Address - Phone:563-588-5520
Practice Address - Fax:563-588-5521
Is Sole Proprietor?:No
Enumeration Date:2025-11-19
Last Update Date:2025-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA121670163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice