Individual provider · Type 1 NPI
Latricia Cierra Rose, FNP
Family Nurse Practitioner · Conyers, GA
NPI number
1801544689
Active
Practice location
1423 Denison Ct
Conyers, GA 30012-7133
Fax (770) 922-9366
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 2021186817 (GA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1801544689
Latricia Cierra Rose, FNP's National Provider Identifier is 1801544689, issued on Mar 11, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Conyers, GA. The record was last updated on Mar 11, 2022.