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Lisa Ann Rose, NP-C

Nurse Practitioner, Adult Health in Clearwater, FL. Individual provider (NPI-1).

NPI number1285643262
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1285643262
Entity type
Individual (NPI-1)
Name
Lisa Ann Rose
Credential
NP-C
Sex
Female
Sole proprietor
No
Enumeration date
Aug 7, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LA2200X Nurse Practitioner, Adult HealthARNP1867772FLYes

Practice location

2724 Park Dr
Clearwater, FL 33763-1020

Phone 727-796-2444 · Fax 727-796-7653

Mailing address

2724 Park Dr
Clearwater, FL 33763-1020

Phone 727-796-2444 · Fax 727-796-7653

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