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

Stephanie Rose

Individual provider Nurse Practitioner · NPI 1609315639

Stephanie Rose is a Nurse Practitioner in Sylvania, Ohio. Qualified in 2016, 10 years ago. Practices with Promedica Central Physicians, a 784-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
10
Licensed in
OH
In the registry since
2017
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Practice location Address checks out

5700 Monroe St Unit 103
Sylvania, OH 43560-2771
Phone: (419) 843-7996
Fax: (419) 841-7704
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1620 Brigham Dr Ste 140, Perrysburg, OH 43551-7124 — (567) 585-0725

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence CNP019556 (OH)

Record details

NPI number1609315639
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 23, 2017
Last updated in NPPESNovember 3, 2023
Certification dateJuly 5, 2023
Mailing address5700 Monroe St, 103, Sylvania, OH 43560-2767

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Promedica Central Physicians — 784 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Sylvania