Provider Demographics
NPI:1457715757
Name:ROSE, ERIN (DNP, ACNP-BC, CLNC)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:
Last Name:ROSE
Suffix:
Gender:F
Credentials:DNP, ACNP-BC, CLNC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6017 PINE RIDGE RD
Mailing Address - Street 2:SUITE 379
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34119-3956
Mailing Address - Country:US
Mailing Address - Phone:239-776-1984
Mailing Address - Fax:
Practice Address - Street 1:6017 PINE RIDGE RD
Practice Address - Street 2:SUITE 379
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34119-3956
Practice Address - Country:US
Practice Address - Phone:239-776-1984
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-12
Last Update Date:2016-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9228253363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care