Individual provider · Type 1 NPI

Carri Rose Prom, NP

Nurse Practitioner · Beverly Hills, CA

NPI number 1477050672 Active

Practice location

250 N Robertson Blvd Ste 106A
Beverly Hills, CA 90211-1767

Call (818) 922-2244 Map

Mailing address

9663 Santa Monica Blvd # 1151
Beverly Hills, CA 90210-4303

Specialties and licenses

Taxonomy	Code	License
Emergency Registered Nurse	163WE0003X	196026-30 (WI)
General Practice Registered Nurse	163WG0000X	849992 (CA)
Nurse Practitioner Primary	363L00000X	95009386 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1477050672

Carri Rose Prom, NP's National Provider Identifier is 1477050672, issued on Apr 12, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Beverly Hills, CA. The record was last updated on Mar 26, 2020.