Individual provider · Type 1 NPI
Rose M. Roosevelt, RN
Emergency Registered Nurse · Stone Mountain, GA
NPI number
1871754093
Active
Practice location
5878 Southland Dr
Stone Mountain, GA 30087-5281
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Registered Nurse Primary | 163WE0003X | 163WE0003X (GA) |
Emergency Registered Nurse: Definition to come...
About NPI 1871754093
Rose M. Roosevelt, RN's National Provider Identifier is 1871754093, issued on Jun 19, 2008. The primary taxonomy on file is Emergency Registered Nurse (163WE0003X), and the practice location is in Stone Mountain, GA. The record was last updated on Jun 19, 2008.