Individual
AUTUMN JOY ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1901 ULMERTON RD, SUITE 450, CLEARWATER, FL 33762-2300
(727) 210-8104
(954) 616-3655
Mailing address
1901 ULMERTON RD, SUITE 450, CLEARWATER, FL 33762-2300
(727) 210-8104
(954) 616-3655
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9204659
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9204659
FL
Other
Enumeration date
12/09/2014
Last updated
09/07/2022
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