Individual
DIANE LYNN ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
101 CARNIE BLVD, VOORHEES, NJ 08043-1548
(856) 325-3831
(856) 325-3750
Mailing address
100 BOWMAN DR, NICU, VOORHEES, NJ 08043-9612
(856) 782-3300
(856) 504-8029
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
26NN07874900
NJ
Other
Enumeration date
02/19/2007
Last updated
12/17/2014
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