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Individual

MS. BECKY C ROSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AG-ACNP

Contact information

Practice address
2360 E PERSHING BLVD, CHEYENNE, WY 82001-5356
(307) 778-7558
(307) 778-7328
Mailing address
2500 ROCKY MOUNTAIN AVE, SUITE 300, LOVELAND, CO 80538-9004
(970) 619-6100
(970) 619-6190

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.0204118
CO
363L00000X
Nurse Practitioner
APN.0991538-NP
CO
363LA2100X
Acute Care Nurse Practitioner
Primary
APN.0991538-NP
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
23980788
CO
Enumeration date
11/18/2014
Last updated
09/02/2025
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