# DR. GARY L. ROSE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1023628898
- **Gender:** Man
- **Credential:** DNP, FNP, ENP, APRN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LA0401X | Addiction Medicine (Anesthesiology) Physician | ME007961 | SC | Yes |
| 207P00000X | Emergency Medicine Physician | 00007961-A | VA | — |
| 207Q00000X | Family Medicine Physician | ME007961 | SC | — |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | ME007961 | SC | — |
| 363LP2300X | Primary Care Nurse Practitioner | ME007961 | SC | — |

## Other

- **Enumeration date:** 08/05/2020
- **Last updated:** 03/28/2023