MEDICARE: ROSE PIERSON ARNP

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
1	363LF0000X	Family Nurse Practitioner	4951P	KY
2	363L00000X	Nurse Practitioner	4951P	KY

General Provider Information

NPI Number	:	1184739591
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSE PIERSON ARNP

Provider Business Mailing Address
First Line	:	1752 LANCASTER RD
Second Line	:
City	:	RICHMOND
State	:	KY
Zip	:	40475-8101
Country	:	US
Telephone Number	:	859-626-1924
Fax Number	:

Provider Business Practice Location Address
First Line	:	1019 MAJESTIC DR
Second Line	:	SUITE 210
City	:	LEXINGTON
State	:	KY
Zip	:	40513-1496
Country	:	US
Telephone Number	:	859-277-3114
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2006
Last Update Date	:	05/26/2015

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Directions to “ ROSE PIERSON ARNP” Practice Location

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