Organization
ROSE BEHAVIORAL HEALTHCARE SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA NICOLE ROSE CNS, NP (MANAGER)
(757) 460-4655
Entity
Organization
Contact information
Practice address
4509 WHITECHAPEL DR, VIRGINIA BEACH, VA 23455-6447
(757) 460-4655
Mailing address
4509 WHITECHAPEL DR, VIRGINIA BEACH, VA 23455-6447
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024175122
VA
Other
Enumeration date
09/20/2017
Last updated
09/20/2017
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