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NPI Code Detail

MEDICARE: KATHERINE ELIZABETH ROSE FNP

MEDICARE: KATHERINE ELIZABETH ROSE FNP
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 PractitionerAP141308TX

General Provider Information

NPI Number : 1154973493
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE ELIZABETH ROSE FNP
Provider Business Mailing Address
First Line : 3600 COMMUNICATIONS PKWY STE 675
Second Line :
City : PLANO
State : TX
Zip : 75093-8162
Country : US
Telephone Number : 972-473-7544
Fax Number :
Provider Business Practice Location Address
First Line : 3600 COMMUNICATIONS PKWY STE 675
Second Line :
City : PLANO
State : TX
Zip : 75093-8162
Country : US
Telephone Number : 972-473-7544
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2019
Last Update Date : 08/26/2023

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