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ROSE M ROTH-BOWERSOCK PNP-BC
NPI 1417937020
Nurse Practitioner - Pediatrics in Paw Paw, MI

Active since January 19, 2006
451 HEALTH PKWY, SUITE E, PAW PAW, MI 49079(269) 655-3090(269) 655-0763 Get Directions Write a Review

NPPES record last updated: October 15, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Rose M Roth-bowersock Pnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROSE M ROTH-BOWERSOCK PNP-BC (NPI 1417937020) is an individual pediatrics provider in Paw Paw, Michigan, licensed in Michigan (470420936) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1417937020
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameROSE M ROTH-BOWERSOCKCredential: PNP-BC
Location Address451 HEALTH PKWY, SUITE EPaw Paw, MI 49079-8242
Mailing Address451 Health Pkwy, Suite EPaw Paw, MI 49079-8242 · (269) 655-3090 · Fax (269) 655-0763
Phone(269) 655-3090
Fax(269) 655-0763
Sole ProprietorNo
Enumeration DateJanuary 19, 2006
Last NPPES UpdateOctober 15, 2014
✔ NPI 1417937020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in MI · 470420936
451 HEALTH PKWY, Paw Paw, MI 49079
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Other Identifiers 6

Medicare PINH06012727 - BLHMI
Other1235131137MI · Bcbsm - Blh
Medicare UPINS11064
Medicare PIN0N54580003MI
Medicaid4469434MI
Medicaid1417937020MI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAMELA NELSON M.D.
Family Medicine
451 HEALTH PKWY, SUITE B
PAW PAW, MI 49079
Van Buren County (269) 655-3065
ERIN AERTS
Physical Therapist
451 HEALTH PKWY
PAW PAW, MI 49079
Van Buren County (269) 657-8300
DR. TODD SUPER PHARM.D., BCPS
Pharmacist (Ambulatory Care)
451 HEALTH PKWY
PAW PAW, MI 49079
Van Buren County (269) 655-1735
KATHLEEN WESTRA
Occupational Therapist
451 HEALTH PKWY
PAW PAW, MI 49079
Van Buren County (269) 657-8300
PIOTR JAN MIETUSIEWICZ PHYSICAL THERAPIST
Physical Therapist
451 HEALTH PKWY
PAW PAW, MI 49079
Van Buren County (269) 657-8300
DR. LYNN JAMES KERN M.D.
Obstetrics & Gynecology
451 HEALTH PKWY, BOX 89
PAW PAW, MI 49079
Van Buren County (269) 655-3070
DR. ZEBI NAZ MD
Family Medicine
451 HEALTH PKWY, SUITE A
PAW PAW, MI 49079
Van Buren County (269) 657-2550
KINJU DUDHIA PT
Physical Therapist
451 HEALTH PKWY
PAW PAW, MI 49079
Van Buren County (269) 657-1490

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rose Roth-bowersock's NPI number?

The NPI number for Rose Roth-bowersock is 1417937020. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Where is Rose Roth-bowersock located?

Rose Roth-bowersock practices at 451 Health Pkwy Suite E, Paw Paw, MI 49079. The listed phone number is (269) 655-3090.

What is Rose Roth-bowersock's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Rose Roth-bowersock was last updated on October 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.