Provider Demographics
NPI:1487210167
Name:SPEIER, ROSE (RN)
Entity type:Individual
Prefix:
First Name:ROSE
Middle Name:
Last Name:SPEIER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1382 FISHER RD
Mailing Address - Street 2:
Mailing Address - City:FOSTER
Mailing Address - State:KY
Mailing Address - Zip Code:41043-8804
Mailing Address - Country:US
Mailing Address - Phone:859-991-6980
Mailing Address - Fax:
Practice Address - Street 1:920 GALLIA STREET
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:OH
Practice Address - Zip Code:45662
Practice Address - Country:US
Practice Address - Phone:740-529-2125
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-17
Last Update Date:2019-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1056966163W00000X
OH206921163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse