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Joanna Michele Rose, NP
Family Nurse Practitioner in Commack, New York
NPI 1770167660

Joanna Michele Rose is a Family Nurse Practitioner based in Manorville, NY and is specialized in Family. Joanna Michele Rose practices in Commack, NY and has the professional credentials of NP. The NPI Number for Joanna Michele Rose is 1770167660 and holds a License No. F338740-01 (New York).

The current practice location address for Joanna Michele Rose is 353 Veterans Memorial Hwy Ste 104, Commack, NY and can be reached out via phone at 631-498-1344.

Location: 353 Veterans Memorial Hwy Ste 104, Commack, NY, 11949-2052
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770167660
Provider Name
Joanna Michele Rose
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
353 Veterans Memorial Hwy Ste 104, Commack, NY, 11949-2052
Phone Number
631-498-1344
Fax Number
Provider Enumeration Date
05/07/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
353 Veterans Memorial Hwy Ste 104
City
Commack
State
New York
Zip
11725-4325
Phone Number
631-498-1344
Fax Number
person
Provider Business Mailing Address Details
Address
353 Veterans Memorial Hwy Ste 104
City
Commack
State
New York
Zip
11725-4325
Phone Number
631-498-1344
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
F338740-01 (New York)
Definition
Definition to come...
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