Individual
BELINDA S ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1634 11TH ST, PORTSMOUTH, OH 45662
(740) 355-7102
(740) 353-3083
Mailing address
1634 11TH ST, PORTSMOUTH, OH 45662-4526
(740) 355-7102
(740) 353-3083
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
LE-00024181
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0312959
—
OH
01
—
APRN.CNP.022994
OHIO LICENSE
OH
Enumeration date
06/26/2018
Last updated
04/23/2019
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