Individual
MRS. KAREN H ROSE
Active
Individual
MRS. KAREN H ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN, C.PED
Taxonomy
Speciality
Code
Description
License number
State
224L00000X
Pedorthist
Primary
20989
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20989
CPED CERTIFICATION ID
NC
05
—
7795295
—
NC
Enumeration date
09/12/2013
Last updated
05/24/2018
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