Individual
STACI NICOLE ROSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1840 MEASE DR STE 202, SAFETY HARBOR, FL 34695-6604
(727) 725-6246
Mailing address
3232 BROOKSIDE CT, TARPON SPGS, FL 34688-9224
(860) 336-6947
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11036027
FL
Other
Enumeration date
10/18/2024
Last updated
10/18/2024
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