Individual provider · Type 1 NPI

Georgia Rose

Obstetrics & Gynecology Nurse Practitioner · New York, NY

NPI number 1487767729 Active

Practice location

285 W End Ave, Y2
New York, NY 10023-2504

Fax (914) 462-4409

Mailing address

123 W 93rd St, #10C
New York, NY 10025-7572

Specialties and licenses

TaxonomyCodeLicense
Midwife 176B00000XF000247-1 (NY)
Obstetrics & Gynecology Nurse Practitioner Primary 363LX0001XF360267-1 (NY)

Obstetrics & Gynecology Nurse Practitioner: Definition to come...

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About NPI 1487767729

Georgia Rose's National Provider Identifier is 1487767729, issued on Aug 17, 2006. The primary taxonomy on file is Obstetrics & Gynecology Nurse Practitioner (363LX0001X), and the practice location is in New York, NY. The record was last updated on Oct 9, 2017.