Rose, Leah M

Rose, Leah M is an individual health care provider with primary practice located at 1310 County Road 210 W , Saint Johns FL 32259. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Rose, Leah M can be contacted via phone (904) 824-4407.

Contact Information

Primary practice address
1310 County Road 210 W Saint Johns FL 32259
Phone: (904) 824-4407
Fax: (904) 390-7459
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN11006156 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN11006156 Florida

Profile Details

NPI number 1336769934
LBN Legal business name Rose, Leah M
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2020
Last updated Aug 15th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1336769934 NPPES
Florida MEDICAID 110108400

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