Individual provider · Type 1 NPI
Samantha Rose, NP
Pediatric Nurse Practitioner · New York, NY
NPI number
1235408600
Active
Practice location
1 Gustave L Levy Pl, Box 1104
New York, NY 10029-6500
Fax (212) 876-3255
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 382258 (NY) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1235408600
Samantha Rose, NP's National Provider Identifier is 1235408600, issued on Dec 14, 2011. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in New York, NY. The record was last updated on Jan 12, 2017.