Individual provider · Type 1 NPI

Mary Rose Locke

Family Nurse Practitioner · Austell, GA

NPI number 1376930404 Active

About NPI 1376930404

Mary Rose Locke's National Provider Identifier is 1376930404, issued on Apr 15, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Austell, GA. The record was last updated on Jan 20, 2022.