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NPI Code Detail

MEDICARE: MERCY G. ROSE NP-C

MEDICARE:   MERCY G. ROSE  NP-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
1363LA2200XAdult Health Nurse PractitionerR866418MS
2363LP2300XPrimary Care Nurse Practitioner95003641CA
3363LA2200XAdult Health Nurse Practitioner775099TX

General Provider Information

NPI Number : 1992980742
Entity Type Code : Individual
Provider Name (Legal Business Name) : MERCY G. ROSE NP-C
Provider Business Mailing Address
First Line : 1505 MAIN ST
Second Line :
City : WATSONVILLE
State : CA
Zip : 95076-3761
Country : US
Telephone Number : 831-722-1444
Fax Number : 831-722-4414
Provider Business Practice Location Address
First Line : 1505 MAIN ST
Second Line :
City : WATSONVILLE
State : CA
Zip : 95076-3761
Country : US
Telephone Number : 831-722-1444
Fax Number : 831-722-4414
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2007
Last Update Date : 10/02/2025

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