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Individual
COREY ROSE
Active
Individual
COREY ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
490199
OH
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
490199
OH
Other
Enumeration date
12/08/2025
Last updated
01/24/2026
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