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Ember Rose, RN
Psychiatric/Mental Health Registered Nurse in San Mateo, California
NPI 1295218394

Ember Rose is a Psychiatric/Mental Health Registered Nurse based in San Mateo, CA and is specialized in Psychiatric/Mental Health. Ember Rose practices in San Mateo, CA and has the professional credentials of RN. The NPI Number for Ember Rose is 1295218394 and holds a License No. 814713 (California).

The current practice location address for Ember Rose is 2600 S El Camino Real Ste 200, San Mateo, CA and can be reached out via phone at 650-373-0777.

Location: 2600 S El Camino Real Ste 200, San Mateo, CA, 94403-2382
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295218394
Provider Name
Ember Rose
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
2600 S El Camino Real Ste 200, San Mateo, CA, 94403-2382
Phone Number
650-373-0777
Fax Number
Provider Enumeration Date
09/13/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
814713 01 CA MEDI-CAL
institution
Provider Business Practice Location Address Details
Address
2600 S El Camino Real Ste 200
City
San Mateo
State
California
Zip
94403-2382
Phone Number
650-373-0777
Fax Number
person
Provider Business Mailing Address Details
Address
2600 S El Camino Real Ste 200
City
San Mateo
State
California
Zip
94403-2382
Phone Number
650-373-0777
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
163WP0808X
License No.
814713 (California)
Definition
Definition to come...
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