Joshua Michael Rose, CRNA
Nurse Anesthetist, Certified Registered in Roanoke, VA. Individual provider (NPI-1).
NPI number1154040749
StatusActive
Last updated in NPPESOct 17, 2022
Details
- NPI
- 1154040749
- Entity type
- Individual (NPI-1)
- Name
- Joshua Michael Rose
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 25, 2022
- Certification date
- Oct 17, 2022
- Last updated
- Oct 17, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 0024185174 | VA | Yes |
Practice location
1906 Belleview Ave SeRoanoke, VA 24014-1838
Phone 540-981-7000
Mailing address
213 S Jefferson St Ste 1006Roanoke, VA 24011-1713
Phone 540-224-5715
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