Staci L Rose is a Fond Du Lac, Wisconsin based nurse practitioner. Active license number of Staci L Rose is 3942-33 in Wisconsin. Her current practice location is 210 Wisconsin American Dr, Fond Du Lac. Patients can reach her at 920-907-7000. Staci L Rose is APNP and her NPI number (Unique professional ID assigned by NPPES) is 1750611448. Staci L Rose has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Staci L Rose speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Staci L Rose
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Credentials:
APNP
Practice Address:
210 Wisconsin American Dr, Fond Du Lac, Wisconsin, 54937-2999
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1750611448
NPI Enumeration Date:
04 Jan, 2010
NPI Last Update On:
08 Jan, 2024
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Staci L Rose are as mentioned below.
License Number
Specialization
State
Status
3942-33
Wisconsin
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Staci L Rose such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1750611448
Medicaid
Wisconsin
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Staci L Rose Po Box 735044, Chicago, Illinois
Zip:
60673-5044
Phone Number:
920-907-7025
Patients can reach Staci L Rose at 210 Wisconsin American Dr, Fond Du Lac, Wisconsin or can call to book an appointment on 920-907-7000.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.