Active NPIIndividual providerSole proprietor

Richard L Rose, LPN

Licensed Practical Nurse in Everett, Massachusetts

NPI Number1861986242
Practice location
391 Broadway, Everett, MA 02149-3470
Fax
—
Last updated
June 19, 2018

Richard Lester Rose is a Licensed Practical Nurse based in Everett, MA. Richard Lester Rose practices in Everett, MA and has the professional credentials of LPN. The NPI Number for Richard Lester Rose is 1861986242 and holds a License No. LN65881 (MA). The current practice location address for Richard Lester Rose is 391 Broadway, Everett, MA 02149-3470 and can be reached out via phone at 781-971-5018.

Provider Profile Details

NPI Number
1861986242
Provider Name
Richard Lester Rose
Credential
LPN
Provider Entity Type
Individual
Gender
Male
Address
391 Broadway, Everett, MA 02149-3470
Phone Number
781-971-5018
Primary Taxonomy
Licensed Practical Nurse · 164W00000X
Sole Proprietor
Yes
Other Names
Richard Lester Rose, LPN (Professional Name)
Provider Enumeration Date
June 19, 2018
Last Update Date
June 19, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
391 Broadway
Everett, MA 02149-3470
Zip
02149-3470
Phone Number
781-971-5018
Everett, MA 02149Get directions →

Provider Business Mailing Address Details

Address
25 Braintree Hill Park Ste 101
Braintree, MA 02184-8715
City
Braintree
State
MA
Zip
02184-8715
Phone Number
781-971-5019
Fax Number
781-817-5821

License Information

License Number
LN65881
License State
MA
Taxonomy
Licensed Practical Nurse · 164W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Richard L Rose, LPN?

The NPI number of Richard L Rose, LPN is 1861986242. It was assigned on June 19, 2018 and is currently active in the NPPES registry.

What is the specialty of Richard L Rose, LPN?

Richard L Rose, LPN is registered under the primary taxonomy Licensed Practical Nurse (code 164W00000X), licensed in MA under license number LN65881.

Where does Richard L Rose, LPN practice?

The practice location is 391 Broadway, Everett, MA 02149-3470. The office can be reached at 781-971-5018 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1861986242 directly on the NPPES registry website.

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