Lauren Tracy Rosa, NP-C
Nurse Practitioner in Providence, RI. Individual provider (NPI-1).
NPI number1801420187
StatusActive
Last updated in NPPESJul 18, 2025
Details
- NPI
- 1801420187
- Entity type
- Individual (NPI-1)
- Name
- Lauren Tracy Rosa
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 26, 2020
- Certification date
- Jul 18, 2025
- Last updated
- Jul 18, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | APRN02268 | RI | Yes |
| 363LG0600X | Nurse Practitioner, Gerontology | APRN02268 | RI |
Other names
- Lauren Tracy Kesack (Former Name)
Practice location
148 W River St Ste 8Providence, RI 02904-2615
Phone 401-606-3000 · Fax 401-331-8110
Mailing address
117 Ellenfield St Ste 101Providence, RI 02905-4541
Phone 401-444-6779 · Fax 401-444-6912
Other practice locations
1377 S County Trl Ste 2a
East Greenwich, RI 02818-5082
East Greenwich, RI 02818-5082
Phone 401-606-4205 · Fax 401-606-4206
900 Warren Ave Ste 101
East Providence, RI 02914-1430
East Providence, RI 02914-1430
Phone 401-919-5200 · Fax 401-919-5204
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