Individual
AMY SHARON ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
408 COFFMAN ST, LONGMONT, CO 80501-5408
(303) 776-4343
(303) 776-4430
Mailing address
408 COFFMAN ST, LONGMONT, CO 80501-5408
(303) 776-4343
(303) 776-4430
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5859
CO
Other
Enumeration date
12/20/2010
Last updated
12/20/2010
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