person
Mr. Riley D Rose, AG/ACNP
Acute Care Nurse Practitioner in Marion, Indiana
NPI 1356776918

Riley D Rose is an Acute Care Nurse Practitioner based in Marion, IN and is specialized in Acute Care. Riley D Rose practices in Marion, IN and has the professional credentials of AG/ACNP. The NPI Number for Riley D Rose is 1356776918 and holds a License No. 28161345A (Indiana).

The current practice location address for Riley D Rose is 1406 W Bella Dr, Marion, IN and can be reached out via phone at 765-660-7720 and via fax at 765-662-4493. You can also correspond with Riley D Rose through the mailing address at 330 N WABASH AVE, MARION, IN - 46952-2696 (mailing address contact number: 765-660-7600).

Location: 1406 W Bella Dr, Marion, IN, 46952-2696
person
Provider Profile Details
NPI Number
1356776918
Provider Name
Riley D Rose
Credential
AG/ACNP
Provider Entity Type
Individual
Gender
Male
Address
1406 W Bella Dr, Marion, IN, 46952-2696
Phone Number
765-660-7720
Fax Number
765-662-4493
Provider Enumeration Date
09/13/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000878522 01 IN ANTHEM
201202120A 05 IN
institution
Provider Business Practice Location Address Details
Address
1406 W Bella Dr
City
State
Zip
46953-5229
Phone Number
765-660-7720
Fax Number
765-662-4493
person
Provider Business Mailing Address Details
Address
330 N Wabash Ave
City
State
Zip
46952-2696
Phone Number
765-660-7600
Fax Number
765-651-7313
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Wound Care
Taxonomy
License No.
741004600A (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
741004600A (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
28161345A (Indiana)
Definition
Definition to come...
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