Individual provider · Type 1 NPI
Lisa Ann Rose, NP-C
Family Nurse Practitioner · Hammond, IN
NPI number
1649508714
Active
Practice location
5514 Hohman Ave
Hammond, IN 46320-1933
Fax (219) 933-2647
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 041279040 (IL) |
| Family Nurse Practitioner Primary | 363LF0000X | 28142429A (IN) |
| Family Nurse Practitioner | 363LF0000X | 209008102 (IL) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1649508714
Lisa Ann Rose, NP-C's National Provider Identifier is 1649508714, issued on Nov 30, 2009. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Hammond, IN. The record was last updated on Apr 8, 2010.