Individual provider · Type 1 NPI

Summer Rose Roush

Family Nurse Practitioner · Columbia, SC

NPI number 1114500022 Active

Practice location

4500 8th Division Rd
Columbia, SC 29207-5720

Mailing address

109 Steeple Dr
Columbia, SC 29229-8977

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X1177004 (TX)

Family Nurse Practitioner: Definition to come...

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About NPI 1114500022

Summer Rose Roush's National Provider Identifier is 1114500022, issued on Apr 29, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Columbia, SC. The record was last updated on Oct 7, 2024.