Individual provider · Type 1 NPI

Charlie Clushettea Rose, APRN

Family Nurse Practitioner · Bowling Green, KY

NPI number 1245996644 Active

Practice location

944 Fields Dr Ste 102
Bowling Green, KY 42104-5381

Fax (270) 826-0212

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X3016967 (KY)

Family Nurse Practitioner: Definition to come...

8 other providers at this address

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About NPI 1245996644

Charlie Clushettea Rose, APRN's National Provider Identifier is 1245996644, issued on Nov 10, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bowling Green, KY. The record was last updated on Jun 1, 2026.