Individual provider · Type 1 NPI

Beverly Sue Rose, NP

Adult Health Nurse Practitioner · Fort Sam Houston, TX

NPI number 1336119700 Active

Practice location

3851 Roger Brooke Dr
Fort Sam Houston, TX 78234-4501

Fax (210) 916-4733

Mailing address

4922 Spyglass Vw
San Antonio, TX 78247-5671

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XNone listed

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1336119700

Beverly Sue Rose, NP's National Provider Identifier is 1336119700, issued on Jan 26, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Fort Sam Houston, TX. The record was last updated on Jul 13, 2026.