Individual
MRS. CHARLIE CLUSHETTEA ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
811 FAIRVIEW AVE, BOWLING GREEN, KY 42101-4969
(270) 904-7029
(270) 826-0212
Mailing address
3042 NATURAL WAY, BOWLING GREEN, KY 42101-4492
(270) 303-3035
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3016967
KY
Other
Enumeration date
11/10/2021
Last updated
11/15/2022
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