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Lera Rose, RN
School Registered Nurse in Waterloo, New York
NPI 1700666534

Lera Rose is a School Registered Nurse based in Waterloo, NY and is specialized in School. Lera Rose practices in Waterloo, NY and has the professional credentials of RN. The NPI Number for Lera Rose is 1700666534 and holds a License No. 796359 (New York).

The current practice location address for Lera Rose is 96 Stark St, Waterloo, NY and can be reached out via phone at 315-539-1555.

Location: 96 Stark St, Waterloo, NY, 13165-8807
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700666534
Provider Name
Lera Rose
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
96 Stark St, Waterloo, NY, 13165-8807
Phone Number
315-539-1555
Fax Number
Provider Enumeration Date
09/29/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
96 Stark St
City
Waterloo
State
New York
Zip
13165-8807
Phone Number
315-539-1555
Fax Number
person
Provider Business Mailing Address Details
Address
96 Stark St
City
Waterloo
State
New York
Zip
13165-8807
Phone Number
315-539-1555
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
School
Taxonomy
163WS0200X
License No.
796359 (New York)
Definition
Definition to come...
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