Individual
ELIZABETH ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5807 HARRODS GLEN DR, PROSPECT, KY 40059-7650
(502) 419-0410
Mailing address
8407 ADAMS RUN RD, LOUISVILLE, KY 40228-3401
(606) 425-6036
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3017947
KY
Other
Enumeration date
05/09/2022
Last updated
02/19/2025
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