Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Lisa Suzette Rose, DNPMSNARNPMBA

Individual provider Family Nurse Practitioner · NPI 1649079104

Mrs. Lisa Suzette Rose, DNPMSNARNPMBA is a Family Nurse Practitioner in Pembroke Pines, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2025

Practice location Address checks out

20380 SW 5th St
Pembroke Pines, FL 33029-5028
Phone: (305) 915-1217
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 11037928 (FL)

Record details

NPI number1649079104
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNPMSNARNPMBA
Sole proprietorYes
NPI enumeratedMarch 10, 2025
Last updated in NPPESMarch 10, 2025
Certification dateMarch 9, 2025

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