Provider Demographics
NPI:1962188532
Name:MCADEN, ROSE V (FNP)
Entity type:Individual
Prefix:
First Name:ROSE
Middle Name:V
Last Name:MCADEN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 SPRING FOREST RD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-2892
Mailing Address - Country:US
Mailing Address - Phone:252-752-4124
Mailing Address - Fax:252-752-0449
Practice Address - Street 1:3311 TRENT RD
Practice Address - Street 2:
Practice Address - City:TRENT WOODS
Practice Address - State:NC
Practice Address - Zip Code:28562-5704
Practice Address - Country:US
Practice Address - Phone:252-634-2885
Practice Address - Fax:252-634-2887
Is Sole Proprietor?:No
Enumeration Date:2023-06-27
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCF06231330363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner