National Provider Identifier
Kathleen M Rose, NP, RN
Kathleen M Rose, NP, RN is listed in the NPPES registry with a primary specialty of Nurse Practitioner in Canandaigua, NY and a listed phone number of (585) 905-0061.
Profile Overview
- NPI
- 1871926204
- Provider Type
- Individual
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- August 21, 2013
- Last Updated
- November 11, 2018
Practice Location
- 3200 West St
- Canandaigua, NY 14424-1722
Phone: (585) 905-0061
Specialties
- Nurse Practitioner (363L00000X)
- Licensed Practical Nurse (164W00000X)
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1871926204
- Entity Type
- Individual
- Last Name
- Rose
- First Name
- Kathleen
- Middle Name
- M
- Credential
- NP, RN
- Mailing Street Address
- 3200 West St
- Mailing City
- Canandaigua
- Mailing State
- NY
- Mailing ZIP Code
- 14424-1722
- Mailing Country
- US
- Mailing Phone
- (585) 905-0061
- Practice Street Address
- 3200 West St
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-1722
- Practice Country
- US
- Practice Phone
- (585) 905-0061
- Enumeration Date
- August 21, 2013
- Last Updated
- November 11, 2018
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Nurse Practitioner (363L00000X), Licensed Practical Nurse (164W00000X), Registered Nurse (163W00000X)