Individual provider · Type 1 NPI
Lisa S. Rose, FNP-C
Primary Care Nurse Practitioner · Dubois, WY
NPI number
1659734390
Active
Practice location
5647 US Highway 26
Dubois, WY 82513-9607
Fax (307) 455-2526
Mailing address
5000 Blackmore Rd
Casper, WY 82609-3345
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 22672.1509 (WY) |
Primary Care Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1659734390
Lisa S. Rose, FNP-C's National Provider Identifier is 1659734390, issued on Mar 31, 2016. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Dubois, WY. The record was last updated on Mar 22, 2022.