Individual provider · Type 1 NPI

Rosetta Lakes

Nurse Practitioner · Manchester, KY

NPI number 1881733111 Active

Practice location

100 S Court St
Manchester, KY 40962-1295

Fax (606) 598-4448

Mailing address

PO Box 158, Manchester Square Shopping Ctr. Room 212
Manchester, KY 40962-0158

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X1037165 (KY)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1881733111

Rosetta Lakes's National Provider Identifier is 1881733111, issued on Feb 5, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Manchester, KY. The record was last updated on Jul 8, 2007.