Search › Rhode Island › 363A00000X

Tyler Rose, PA-C

NPI 1386213916 · on the registry since 2021

Practice

Address
825 Chalkstone Ave
Providence, RI 02908
Phone
(401) 456-2121
Organisation at this address
Roger Williams Hospital
Roger Williams Hospital
Roger Williams Hospital
Roger Williams Hospital
Roger Williams Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
249

Additional practice sites

  • 101 Dudley St, Providence, RI
  • 455 Toll Gate Rd, Warwick, RI

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363AM0700X
Licence states on file
RI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-06-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Rhode Island