Individual provider · Type 1 NPI

Tracey Rose, APN

Psychiatric/Mental Health Nurse Practitioner · Englewood, NJ

NPI number 1508628314 Active

Practice location

93 W Palisade Ave
Englewood, NJ 07631-2611

Mailing address

133 Bergen Ave
Bergenfield, NJ 07621-2422

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X26NJ15010200 (NJ)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1508628314

Tracey Rose, APN's National Provider Identifier is 1508628314, issued on Jan 26, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Englewood, NJ. The record was last updated on Feb 17, 2024.