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Individual
SYDNEY MICHELLE ROSE
Active
Individual
SYDNEY MICHELLE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1057022
TX
363LA2100X
Acute Care Nurse Practitioner
1057022
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1057022
TEXAS BOARD OF NURSING
TX
Enumeration date
07/21/2021
Last updated
02/22/2022
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