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

TaxonomyCodeLicense
Emergency Registered Nurse Primary 163WE0003X163WE0003X (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.