Individual
KIMBERLY NICHOLE ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP, PMHNP-BC
Contact information
Practice address
9362 TEDDY LN STE 106, LONE TREE, CO 80124-2871
(720) 749-5599
(720) 403-8182
Mailing address
5445 DTC PKWY STE 1130, GREENWOOD VILLAGE, CO 80111-3038
(720) 749-5599
(720) 925-5897
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0000864
CO
363LF0000X
Family Nurse Practitioner
16683
TN
363LF0000X
Family Nurse Practitioner
APN.0998307-NP
CO
363LF0000X
Family Nurse Practitioner
R868155
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN.0998307-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1529089
—
TN
01
—
16683
APN LICENSE
TN
01
—
R868155
LICENSE
MS
Enumeration date
06/05/2012
Last updated
12/22/2025
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