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NPI Code Detail

MEDICARE: DR. DAWN ELYSE ROSE DNP, FNP-C

MEDICARE: DR. DAWN ELYSE ROSE DNP, FNP-C
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
1363LF0000XFamily Nurse Practitioner95014878CA

General Provider Information

NPI Number : 1134747595
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAWN ELYSE ROSE DNP, FNP-C
Provider Business Mailing Address
First Line : 1980 FESTIVAL PLAZA DR STE 300
Second Line :
City : LAS VEGAS
State : NV
Zip : 89135-2930
Country : US
Telephone Number : 858-833-1127
Fax Number :
Provider Business Practice Location Address
First Line : 1980 FESTIVAL PLAZA DR STE 300
Second Line :
City : LAS VEGAS
State : NV
Zip : 89135-2930
Country : US
Telephone Number : 858-833-1127
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2020
Last Update Date : 06/12/2025

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