Individual
ROZA LISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
941 RUSSELL AVE STE B, GAITHERSBURG, MD 20879-6206
(240) 848-7692
(240) 608-2456
Mailing address
941 RUSSELL AVE STE B, GAITHERSBURG, MD 20879-6206
(240) 848-7692
(240) 608-2456
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
APRN11011667
FL
363LP2300X
Primary Care Nurse Practitioner
Primary
R206181
MD
Other
Enumeration date
09/01/2009
Last updated
04/26/2025
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