Individual
LISA MICHELLE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP-C
Contact information
Practice address
4710 N HABANA AVE STE 200, TAMPA, FL 33614-7146
(813) 450-3457
Mailing address
2409 E 2ND AVE UNIT 334, TAMPA, FL 33605-5449
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11036332
FL
Other
Enumeration date
10/25/2024
Last updated
11/05/2024
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