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Rose Myrlene Surprise
Family Nurse Practitioner in Bellport, New York
NPI 1750829024

Rose Myrlene Surprise is a Family Nurse Practitioner based in Bellport, NY and is specialized in Family. Rose Myrlene Surprise practices in Bellport, NY. The NPI Number for Rose Myrlene Surprise is 1750829024 and holds a License No. F340052-1 (New York).

The current practice location address for Rose Myrlene Surprise is 107 S Country Rd, Bellport, NY and can be reached out via phone at 631-286-2222.

Location: 107 S Country Rd, Bellport, NY, 11713-2523
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750829024
Provider Name
Rose Myrlene Surprise
Credential
Provider Entity Type
Individual
Gender
Female
Address
107 S Country Rd, Bellport, NY, 11713-2523
Phone Number
631-286-2222
Fax Number
Provider Enumeration Date
02/07/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01259347 05 NY
institution
Provider Business Practice Location Address Details
Address
107 S Country Rd
City
Bellport
State
New York
Zip
11713-2523
Phone Number
631-286-2222
Fax Number
person
Provider Business Mailing Address Details
Address
107 S Country Rd
City
Bellport
State
New York
Zip
11713-2523
Phone Number
631-286-2222
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
F340052-1 (New York)
Definition
Definition to come...
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