Individual
LAUREN TRACY ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
148 W RIVER ST STE 8, PROVIDENCE, RI 02904-2615
(401) 606-3000
(401) 331-8110
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN02268
RI
363LG0600X
Gerontology Nurse Practitioner
APRN02268
RI
Other
Enumeration date
02/26/2020
Last updated
07/18/2025
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