Provider Demographics
NPI:1316610579
Name:POMPEE, ROSE (LPN)
Entity type:Individual
Prefix:
First Name:ROSE
Middle Name:
Last Name:POMPEE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13417 UTAH WOODS CT
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32824-9416
Mailing Address - Country:US
Mailing Address - Phone:772-985-1473
Mailing Address - Fax:
Practice Address - Street 1:13417 UTAH WOODS CT
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32824-9416
Practice Address - Country:US
Practice Address - Phone:772-985-1473
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-25
Last Update Date:2021-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPN5209195164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse