Derrick Rose, CRNA Valid NPI

Individual provider · Certified Registered Nurse Anesthetist · Loma Linda, CA

NPI

1699900456

Type

Individual (Type 1)

Primary specialty

Certified Registered Nurse Anesthetist (Nurse Anesthetist, Certified Registered)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

367500000X

License number

3787 (CA)

Sex

Male

Sole proprietor

No

Enumerated

2009-05-22

Last updated

2009-05-22