Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 20275 | CA |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 20275 | CA |
NPI | 1093000937 |
---|---|
Provider Name | Emily Rose Rorden |
First Address | Los Angeles, CA 90031-0309 |
Second Address | Los Angeles, CA 90033-5328 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2011 |
Last Update Date | 18/10/2020 |