Rose, Riley D

Rose, Riley D is an individual health care provider with primary practice located at 1406 W Bella Dr , Marion IN 46953-5229. He recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Wound Care, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is his primary health care specialty. Rose, Riley D can be contacted via phone (765) 660-7720.

Contact Information

Primary practice address
1406 W Bella Dr Marion IN 46953-5229
Phone: (765) 660-7720
Fax: (765) 662-4493
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Wound Care 163WW0000X 28161345A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 741004600A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 741004600A Indiana

Profile Details

NPI number 1356776918
LBN Legal business name Rose, Riley D
Credentials AG/ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2013
Last updated Oct 21st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356776918 NPPES
Indiana Other 000000878522 ANTHEM
Indiana MEDICAID 201202120A ANTHEM

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