Individual
SHARON N ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, ARNP
Contact information
Practice address
1698 OLD LEBANON RD, SUITE 2B, CAMPBELLSVILLE, KY 42718-9662
(270) 465-3568
Mailing address
1698 OLD LEBANON RD, CAMPBELLSVILLE, KY 42718-9662
(270) 465-3561
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
2406M
KY
367A00000X
Advanced Practice Midwife
2406M
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78240603
—
KY
Enumeration date
08/09/2005
Last updated
09/28/2007
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