Provider Demographics
NPI:1093460073
Name:LASHER, ROSE (APRN)
Entity Type:Individual
Prefix:
First Name:ROSE
Middle Name:
Last Name:LASHER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:ROSE
Other - Middle Name:
Other - Last Name:LASHER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APRN
Mailing Address - Street 1:313 S LAKEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-2815
Mailing Address - Country:US
Mailing Address - Phone:813-653-6100
Mailing Address - Fax:
Practice Address - Street 1:5121 HWY 674
Practice Address - Street 2:
Practice Address - City:WIMAUMA
Practice Address - State:FL
Practice Address - Zip Code:33598-3515
Practice Address - Country:US
Practice Address - Phone:813-653-6100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-17
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11018053363LP2300X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care