Individual
ELISE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, WHNP
Contact information
Practice address
233 E 2ND ST, SALIDA, CO 81201-2116
(719) 539-7291
Mailing address
701 SAN MATEO BLVD NE, ALBUQUERQUE, NM 87108-1434
(505) 944-2021
(505) 814-5743
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
APN.0997210-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000200188
—
CO
Enumeration date
05/17/2018
Last updated
01/10/2022
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