Individual
STARLENE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5171 S COTTONWOOD ST, MURRAY, UT 84107-5704
(801) 507-9310
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9029106-3102
UT
363LF0000X
Family Nurse Practitioner
Primary
9029106-4405
UT
Other
Enumeration date
07/08/2019
Last updated
01/30/2026
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