Individual
MS. NICHOL ROSACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
311 N CLYDE MORRIS BLVD, SUITE 350, DAYTONA BEACH, FL 32114-2781
(386) 255-1266
(386) 255-8520
Mailing address
1329 SW 16TH ST RM 2232, GAINESVILLE, FL 32608-1128
(352) 733-0485
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN3322232
FL
367500000X
Certified Registered Nurse Anesthetist
ARNP3322232
FL
Other
Enumeration date
07/15/2006
Last updated
12/18/2020
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