Individual
NATALIE DEEANN ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6839 S CANTON AVE, TULSA, OK 74136-3402
(189) 494-0612
Mailing address
6316 BAYLOR DR, BARTLESVILLE, OK 74006-9008
(918) 331-6360
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1356079388
OK
Other
Enumeration date
08/09/2022
Last updated
04/16/2025
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