ARLENE ARETHA TAYLOR ROSE MSN PMHNP-BC CCRN NPI 1174993604

NPI Information

  • NPI: 1174993604
  • Provider Name: ARLENE ARETHA TAYLOR ROSE, MSN, PMHNP-BC, CCRN
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 8453 FIR DR APT D
    RANCHO CUCAMONGA, CA
    ZIP 91730
  • Phone: (818) 473-0156

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NPI Details

Arlene Aretha Taylor Rose, MSN, PMHNP-BC, CCRN is a psychiatric/mental health nurse practitioner in Rancho Cucamonga, CA. Arlene Aretha Taylor Rose, MSN, PMHNP-BC, CCRN NPI is 1174993604. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8453 FIR DR APT D
RANCHO CUCAMONGA, CA
ZIP 91730-160
Phone: (818) 473-0156
Fax: (641) 207-4228

The NPI 1174993604 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/27/2015 and was last updated on 3/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse78207CALIFORNIANo
2163WC0200XRegistered NurseCritical Care Medicine716641CALIFORNIANo
32083P0901XPreventive MedicinePublic Health & General Preventive Medicine78207CALIFORNIANo
4261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
5261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
6261QP2300XClinic/CenterPrimary CareNo
7363L00000XNurse Practitioner95006428CALIFORNIANo
8363LP0808XNurse PractitionerPsychiatric/Mental Health1099329CALIFORNIANo
9363LP0808XNurse PractitionerPsychiatric/Mental Health95006428CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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