Prom, Carri Rose
Prom, Carri Rose is an individual health care provider with primary practice located at 250 N Robertson Blvd Ste 106A , Beverly Hills CA 90211-1767. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Emergency, Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Prom, Carri Rose can be contacted via phone (818) 922-2244.Contact Information
Primary practice address
250 N Robertson Blvd Ste 106A
Beverly Hills CA 90211-1767
Phone: (818) 922-2244
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Emergency | 163WE0003X | 196026-30 | Wisconsin |
Nursing Service Providers / General Practice | 163WG0000X | 849992 | California |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 95009386 | California |
Profile Details
NPI number | 1477050672 |
---|---|
LBN Legal business name | Prom, Carri Rose |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 12th, 2018 |
Last updated | Mar 26th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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