Individual
ANDREA LEIGH ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
6333 E SKELLY DR, TULSA, OK 74135-6106
(918) 779-7147
(918) 663-0203
Mailing address
6333 E SKELLY DR, TULSA, OK 74135-6106
(918) 779-7147
(918) 663-0203
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
R0057981
OK
Other
Enumeration date
09/04/2013
Last updated
09/04/2013
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