Individual
MS. LORRAINE ROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
455 W WARREN AVE, LONGWOOD, FL 32750-4002
(407) 262-2220
(407) 834-5011
Mailing address
455 W WARREN AVE, LONGWOOD, FL 32750-4002
(407) 262-2220
(407) 834-5011
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
ARNP2678782
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
303941200
—
FL
01
—
ARNP2678782
MEDICAL LICENSE
FL
Enumeration date
08/20/2006
Last updated
11/10/2016
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