Individual
MS. PAULA SUE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
19636 N 2TH AVE, SUITE 202, PHOENIX, AZ 85027-4013
(623) 516-8252
(623) 516-8253
Mailing address
5281N 99TH AVE 100, GLENDALE, AZ 85305-3105
(623) 241-6158
(623) 691-8502
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
2425
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA0375
AZ
Other
Enumeration date
06/16/2005
Last updated
04/04/2016
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