Individual
BETH ANN ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
550 UNIVERSITY BLVD, UH 1115-A, INDIANAPOLIS, IN 46202-5149
(317) 944-7490
(317) 944-5994
Mailing address
4957 OAKTON ST, STE 237, SKOKIE, IL 60077-2903
(773) 543-6479
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
28136599A
IN
Other
Enumeration date
12/19/2006
Last updated
12/27/2021
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