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NPI Code Detail

MEDICARE: SHIRLEY ROSS

MEDICARE:   SHIRLEY  ROSS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical NursePN072427LPA

General Provider Information

NPI Number : 1770760514
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHIRLEY ROSS
Provider Business Mailing Address
First Line : 3977 OLD ROUTE 8
Second Line :
City : ALLISON PARK
State : PA
Zip : 15101-3036
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2250 HICKORY RD
Second Line :
City : PLYMOUTH MEETING
State : PA
Zip : 19462-1047
Country : US
Telephone Number : 610-834-1122
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2008
Last Update Date : 03/22/2026

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Directions to “ SHIRLEY ROSS ” Practice Location

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