Individual
ALICIA NICOLE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS, NP
Contact information
Practice address
19056 GREENBUSH ROAD, PARKSLEY, VA 23421
(757) 665-1260
Mailing address
4509 WHITECHAPEL DR, VIRGINIA BEACH, VA 23455-6447
(757) 460-4655
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024175122
VA
364SA2200X
Adult Health Clinical Nurse Specialist
0015000927
VA
Other
Enumeration date
11/22/2015
Last updated
01/25/2023
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