Individual
TARAH B ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1740 NICHOLASVILLE RD, LEXINGTON, KY 40503-1431
(859) 260-6100
Mailing address
425 LEWIS HARGETT CIR, LEXINGTON, KY 40503-3590
(859) 268-1030
(859) 269-4120
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3005153
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200467490
—
IN
05
—
2491950
—
OH
05
—
74009978
—
KY
Enumeration date
08/24/2005
Last updated
11/07/2013
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