Individual
CAROLYN ANNE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6505 LANDMARK DR, #300, PARK CITY, UT 84098-5999
(435) 615-3915
(435) 615-3926
Mailing address
6505 LANDMARK DR, #300, PARK CITY, UT 84098-5999
(435) 615-3915
(435) 615-3926
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
217756-3102
UT
Other
Enumeration date
02/07/2008
Last updated
02/07/2008
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