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Crea Rose
Nurse Practitioner in Salem, Illinois
NPI 1366184053

Crea Rose is a Nurse Practitioner based in Centralia, IL. Crea Rose practices in Salem, IL. The NPI Number for Crea Rose is 1366184053 and holds a License No. 209.025104 (Illinois).

The current practice location address for Crea Rose is 126 N Hotze Rd, Salem, IL and can be reached out via phone at 618-495-4241 and via fax at 618-495-4143.

Location: 126 N Hotze Rd, Salem, IL, 62801-3610
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366184053
Provider Name
Crea Rose
Credential
Provider Entity Type
Individual
Gender
Female
Address
126 N Hotze Rd, Salem, IL, 62801-3610
Phone Number
618-495-4241
Fax Number
618-495-4143
Provider Enumeration Date
04/12/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
126 N Hotze Rd
City
Salem
State
Illinois
Zip
62881-5237
Phone Number
618-495-4241
Fax Number
618-495-4143
person
Provider Business Mailing Address Details
Address
126 N Hotze Rd
City
Salem
State
Illinois
Zip
62881-5237
Phone Number
618-495-4241
Fax Number
618-495-4143
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
209.025104 (Illinois)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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