National Provider Identifier

Stephanie L Rose, MS, ATC

Stephanie L Rose, MS, ATC is listed in the NPPES registry with a primary specialty of Athletic Trainer in Dunkirk, NY and a listed phone number of (716) 672-2000.

NPI 1710339056Dunkirk, NYAthletic Trainer

Profile Overview

NPI
1710339056
Provider Type
Individual
Primary Specialty
Athletic Trainer
Enumeration Date
July 11, 2016
Last Updated
August 07, 2025

Practice Location

  • 419 Central Avenue
  • Dunkirk, NY 14048

Phone: (716) 672-2000

Mailing Address

  • 99 Lake Ave
  • Brocton, NY 14716-9755

Specialties

  • Athletic Trainer (2255A2300X)
  • Athletic Trainer (2255A2300X)
Full Record
NPI
1710339056
Entity Type
Individual
Last Name
Rose
First Name
Stephanie
Middle Name
L
Name Prefix
Mrs.
Credential
MS, ATC
Provider Other Last Name
Woleben
Provider Other First Name
Stephanie
Provider Other Middle Name
L
Provider Other Name Prefix Text
MS.
Provider Other Last Name Type Code
1
Mailing Street Address
99 Lake Ave
Mailing City
Brocton
Mailing State
NY
Mailing ZIP Code
14716-9755
Mailing Country
US
Practice Street Address
419 Central Avenue
Practice City
Dunkirk
Practice State
NY
Practice ZIP Code
14048
Practice Country
US
Practice Phone
(716) 672-2000
Practice Fax
(716) 363-2172
Enumeration Date
July 11, 2016
Last Updated
August 07, 2025
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Athletic Trainer (2255A2300X), Athletic Trainer (2255A2300X)