Individual
BETHANY A ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
9717 LOWER VALLEY PIKE, MEDWAY, OH 45341-9749
(937) 450-3785
Mailing address
9717 LOWER VALLEY PIKE, MEDWAY, OH 45341-9749
(937) 450-3785
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
147701
OH
164W00000X
Licensed Practical Nurse
Primary
LPN.147701.MEDS-IV
OH
Other
Enumeration date
02/24/2022
Last updated
04/29/2025
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