Prom, Carri Rose

Prom, Carri Rose is an individual health care provider with primary practice located at 250 N Robertson Blvd Ste 106A , Beverly Hills CA 90211-1767. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Emergency, Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Prom, Carri Rose can be contacted via phone (818) 922-2244.

Contact Information

Primary practice address
250 N Robertson Blvd Ste 106A Beverly Hills CA 90211-1767
Phone: (818) 922-2244
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Emergency 163WE0003X 196026-30 Wisconsin
Nursing Service Providers / General Practice 163WG0000X 849992 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 95009386 California

Profile Details

NPI number 1477050672
LBN Legal business name Prom, Carri Rose
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2018
Last updated Mar 26th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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