Individual
KELLY ROSARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
105 MIRRAMONT LAKE DR, WOODSTOCK, GA 30189-8214
(770) 485-9670
Mailing address
105 MIRRAMONT LAKE DR, WOODSTOCK, GA 30189-8214
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN-NP267228
GA
Other
Enumeration date
12/29/2025
Last updated
12/29/2025
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