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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TRACY SUE ROSE, AGACNP-BC

Active Sole Proprietor

TRACY SUE ROSE, AGACNP-BC is a Gerontological Nurse Practitioner healthcare provider located in LAFAYETTE, Indiana. NPI 1770291148 is currently active in the NPPES registry. Verify at CMS.

Gerontological Nurse Practitioner · LAFAYETTE, IN

Registration Details

NPI Number
1770291148
Provider Type
Individual
Gender
Female
NPI Issued
Nov 14, 2022 (3.7166664210395 yrs)
Last Updated
Apr 6, 2023
Licenses
71013031A (IN)
71013031A (IN)
Sole Proprietor
Yes

Practice Information

Address
1701 S CREASY LN
LAFAYETTE, IN, 479054972
Browse IN providers · Browse ZIP 47905
Phone
7655024000
Fax
7655024001
Primary Specialty
Gerontological Nurse Practitioner
363LG0600X

Other Gerontological Nurse Practitioner Providers in LAFAYETTE, IN

Name Credential NPI
LAURA LEE FELLER 1972944924
WAUNTESHA HARDY AGPCNP-BC 1518487677
ARIEL HOUIM APRN 1942706452
JULIE J DEBORD AGNP 1053968024
JANA SUZANNE DOYLE AGPCNP-BC 1306488978
MRS. JENNIFER E SCHABEL AGPCNP 1386280758
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.