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

Mrs. Stacy Ruth Rose, CRNP

Individual provider Women's Health Nurse Practitioner · NPI 1689658031

Mrs. Stacy Ruth Rose, CRNP is a Women's Health Nurse Practitioner in Willoughby, Ohio. Licensed in Ohio. Registered with an NPI since 2005.

Licensed in
OH
In the registry since
2005
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

4176 State Route 306
Willoughby, OH 44094-9203
Phone: (440) 918-4630
Fax: (440) 918-4620
Show map & directions

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

Specialties & licences

Women's Health Nurse Practitioner (primary) Taxonomy 363LW0102X · Licence COA.06089-NP (OH)

Record details

NPI number1689658031
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedNovember 30, 2005
Last updated in NPPESMarch 3, 2021
Certification dateMarch 3, 2021