| Mr Leonard A Rose Jr, CRNP | |
|
600 Sun Temple Dr, Madison, AL 35758-8643 | |
| (256) 288-3333 | |
| (256) 288-3334 |
| Full Name | Mr Leonard A Rose Jr |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 600 Sun Temple Dr, Madison, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215562988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1-074517 (Alabama) | Primary |
| Entity Name | Farouk A Raquib Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760531479 PECOS PAC ID: 4688864440 Enrollment ID: O20101104000149 |
| Entity Name | Stopwatch Urgent Care Centers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841506458 PECOS PAC ID: 7719166230 Enrollment ID: O20110128000664 |
| Entity Name | Signify Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210224000756 |
| Entity Name | American Wound Care Al Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518732346 PECOS PAC ID: 9032554902 Enrollment ID: O20240301000730 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Leonard A Rose Jr, CRNP 600 Sun Temple Dr, Madison, AL 35758-8643 Ph: (256) 288-3333 | Mr Leonard A Rose Jr, CRNP 600 Sun Temple Dr, Madison, AL 35758-8643 Ph: (256) 288-3333 |
Krista Young, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 Sun Temple Dr, Madison, AL 35758 Phone: 256-975-4291 Fax: 256-288-3334 | |
Dr. Kaitlyn Wendolowski, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12205 County Line Rd, Madison, AL 35758 Phone: 256-325-6722 Fax: 256-517-8082 | |
Natalie R Baker, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12205 County Line Rd, Suite B, Madison, AL 35758 Phone: 256-325-4365 Fax: 256-461-0393 | |
Chastity D Ayers, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 600 Sun Temple Dr, Madison, AL 35758 Phone: 256-288-3333 Fax: 256-288-3334 | |
Mr. Blake Hamilton Gilliam, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1230 Slaughter Rd Ste C, Madison, AL 35758 Phone: 256-325-0955 | |
Mrs. Ruth Morris Church, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8216 Madison Blvd, Madison, AL 35758 Phone: 256-464-9991 Fax: 256-464-9994 | |
Jacob Ryan Gray, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9238 Madison Blvd Ste 750, Madison, AL 35758 Phone: 256-724-8880 Fax: 888-951-7515 |