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
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
113 N SAN VICENTE BLVD STE 253
BEVERLY HILLS, CA
ZIP 90211
Phone: (424) 209-4500
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Arlene Aretha Taylor Rose, MSN, PMHNP-BC, CCRN is a psychiatric/mental health nurse practitioner in Beverly Hills, 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:

113 N SAN VICENTE BLVD STE 253
BEVERLY HILLS, CA
ZIP 90211-329
Phone: (424) 209-4500
Fax: (818) 450-0611

The enumeration date for this NPI number is 9/27/2015 and was last updated on 1/24/2022.

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
1	163W00000X	Registered Nurse		78207	CALIFORNIA	No
2	163WC0200X	Registered Nurse	Critical Care Medicine	716641	CALIFORNIA	No
3	2083P0901X	Preventive Medicine	Public Health & General Preventive Medicine	78207	CALIFORNIA	No
4	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			No
5	261QM0855X	Clinic/Center	Adolescent and Children Mental Health			No
6	261QP2300X	Clinic/Center	Primary Care			No
7	363L00000X	Nurse Practitioner		95006428	CALIFORNIA	No
8	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	95006428	CALIFORNIA	Yes

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: 4/28/2024

NPI Synchronization or Removal

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