ROSE M ROOSEVELT RN
NPI 1871754093
Registered Nurse - Emergency in Stone Mountain, GA
Active since June 19, 2008
About Rose M Roosevelt Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROSE M ROOSEVELT RN (NPI 1871754093) is an individual emergency provider in Stone Mountain, Georgia, licensed in Georgia (163WE0003X) and active in the NPI registry since June 2008.
NPPES Registry Identity
NPI1871754093
Entity TypeIndividualFemale
Primary Taxonomy163WE0003X
Provider Legal NameROSE M ROOSEVELTCredential: RN
Location Address5878 SOUTHLAND DRStone Mountain, GA 30087-5281
Mailing Address5878 Southland DrStone Mountain, GA 30087-5281 · (404) 543-1199
Phone(404) 543-1199
Sole ProprietorNo
Enumeration DateJune 19, 2008
✔ NPI 1871754093 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · EmergencyNursing Service Providers
Taxonomy Code163WE0003X
License✔ Licensed in GA · 163WE0003X
5878 SOUTHLAND DR, Stone Mountain, GA 30087
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1871754093, enumerated as an "individual" on June 19, 2008.
The provider is located at 5878 SOUTHLAND DR STONE MOUNTAIN, GA 30087 and the phone number is (404) 543-1199.
Registered Nurse with taxonomy code 163WE0003X and a focus in Emergency.
