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Micala M Rose, NP
Family Nurse Practitioner in Ashtabula, Ohio
NPI 1760267439

Micala M Rose is a Family Nurse Practitioner based in Ashtabula, OH and is specialized in Family. Micala M Rose practices in Ashtabula, OH and has the professional credentials of NP. The NPI Number for Micala M Rose is 1760267439 and holds a License No. 0033553 (Ohio).

The current practice location address for Micala M Rose is 2259 Lake Ave, Ashtabula, OH and can be reached out via phone at 440-994-7550.

Location: 2259 Lake Ave, Ashtabula, OH, 44004-3437
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760267439
Provider Name
Micala M Rose
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
2259 Lake Ave, Ashtabula, OH, 44004-3437
Phone Number
440-994-7550
Fax Number
Provider Enumeration Date
08/30/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2259 Lake Ave
City
Ashtabula
State
Ohio
Zip
44004-3437
Phone Number
440-994-7550
Fax Number
person
Provider Business Mailing Address Details
Address
2259 Lake Ave
City
Ashtabula
State
Ohio
Zip
44004-3437
Phone Number
440-994-7550
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
0033553 (Ohio)
Definition
Definition to come...
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