person
Mrs. Stacy Ruth Rose, CRNP
Women's Health Nurse Practitioner in Willoughby, Ohio
NPI 1689658031

Stacy Ruth Rose is a Women's Health Nurse Practitioner based in Concord Twp, OH and is specialized in Women's Health. Stacy Ruth Rose practices in Willoughby, OH and has the professional credentials of CRNP. The NPI Number for Stacy Ruth Rose is 1689658031 and holds a License No. COA.06089-NP (Ohio).

The current practice location address for Stacy Ruth Rose is 4176 State Route 306, Willoughby, OH and can be reached out via phone at 440-918-4630 and via fax at 440-918-4620.

Location: 4176 State Route 306, Willoughby, OH, 44077-9176
person
Provider Profile Details
NPI Number
1689658031
Provider Name
Stacy Ruth Rose
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
4176 State Route 306, Willoughby, OH, 44077-9176
Phone Number
440-918-4630
Fax Number
440-918-4620
Provider Enumeration Date
11/30/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2203627 05 OH
H020110 01 OH MEDICARE
institution
Provider Business Practice Location Address Details
Address
4176 State Route 306
City
State
Zip
44094-9203
Phone Number
440-918-4630
Fax Number
440-918-4620
person
Provider Business Mailing Address Details
Address
4176 State Route 306
City
State
Zip
44094-9203
Phone Number
440-918-4630
Fax Number
440-918-4620
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Women's Health
Taxonomy
License No.
COA.06089-NP (Ohio)
Definition
Definition to come...
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