Individual provider · Type 1 NPI

Stacy Ruth Rose, CRNP

Women's Health Nurse Practitioner · Willoughby, OH

NPI number 1689658031 Active

Practice location

4176 State Route 306
Willoughby, OH 44094-9203

Call (440) 918-4630 Map

Fax (440) 918-4620

Mailing address

7590 Auburn Road, Suite 014, Attn: Med Staff
Concord Township, OH 44077-9176

Specialties and licenses

TaxonomyCodeLicense
Women's Health Nurse Practitioner Primary 363LW0102XCOA.06089-NP (OH)

Women's Health Nurse Practitioner: Definition to come...

11 other providers at this address

About NPI 1689658031

Stacy Ruth Rose, CRNP's National Provider Identifier is 1689658031, issued on Nov 30, 2005. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Willoughby, OH. The record was last updated on Mar 3, 2021.