Individual provider · Type 1 NPI

Constance Ann Rose, CRNP ADULT/GERIATRIC

Adult Health Nurse Practitioner · Baltimore, MD

NPI number 1699067702 Active

Practice location

115 E Melrose Ave
Baltimore, MD 21212-2945

Mailing address

1042 Pipistrelle Ct
Odenton, MD 21113-3842

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XR173510 (MD)
Gerontology Nurse Practitioner 363LG0600XR173510 (MD)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1699067702

Constance Ann Rose, CRNP ADULT/GERIATRIC's National Provider Identifier is 1699067702, issued on May 8, 2011. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Baltimore, MD. The record was last updated on May 8, 2011.