Individual provider · Type 1 NPI
Joanna Michele Rose, NP
Family Nurse Practitioner · Commack, NY
NPI number
1770167660
Active
Practice location
353 Veterans Memorial Hwy Ste 104
Commack, NY 11725-4325
Mailing address
276 Woodland Ave
Manorville, NY 11949-2052
Other practice locations
- 353 Veterans Memorial Hwy Ste 103, Commack, NY 11725-4325 · (631) 498-1344
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | F338740-01 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1770167660
Joanna Michele Rose, NP's National Provider Identifier is 1770167660, issued on May 7, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Commack, NY. The record was last updated on Jul 28, 2021.