MEDICARE: ANNALEE M 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
1	235Z00000X	Speech-Language Pathologist	SP-4445	NV

General Provider Information

NPI Number	:	1427975739
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNALEE M ROSS

Provider Business Mailing Address
First Line	:	7416 INNOVATION PEAK CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89139-5710
Country	:	US
Telephone Number	:	702-970-6426
Fax Number	:	725-331-4005

Provider Business Practice Location Address
First Line	:	7416 INNOVATION PEAK CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89139-5710
Country	:	US
Telephone Number	:	702-970-6426
Fax Number	:	725-331-4005

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

Provider Enumeration Date	:	06/30/2026
Last Update Date	:	06/30/2026

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Directions to “ ANNALEE M ROSS ” Practice Location

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