Individual
MRS. NONTASCHA GWEN ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN FNP-BC
Contact information
Practice address
40 MAIN STREET, SUITE B, CAMPTON, KY 41301
(606) 668-9076
Mailing address
419 ROSE BEND RD, CAMPTON, KY 41301-9435
(606) 495-5415
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1141107
KY
363LF0000X
Family Nurse Practitioner
Primary
4034165
KY
Other
Enumeration date
01/14/2025
Last updated
01/22/2025
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