Individual
MRS. LAURA JILL ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN APRN ANP-C
Contact information
Practice address
26900 CEDAR RD, FAMILY MEDICINE, BEACHWOOD, OH 44122-1191
(216) 839-3000
Mailing address
26900 CEDAR RD, FAMILY MEDICINE, BEACHWOOD, OH 44122-1191
(216) 839-3000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.318361-COA1
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
COA.13481-NP
OH
363LA2200X
Adult Health Nurse Practitioner
RX.13481-EX1
OH
Other
Enumeration date
10/10/2012
Last updated
10/10/2012
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