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Individual

MS. ROSETTA B. GOETZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
F.N.P.

Contact information

Practice address
600 SOUTH DRIVE, COLORADO STATE UNIVERSITY, FORT COLLINS, CO 80521
(970) 491-7121
Mailing address
2939 BROOKWOOD PLACE, FORT COLLINS, CO 80525
(970) 226-2792

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
57575
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
07575756
CO
Enumeration date
10/02/2006
Last updated
07/08/2007
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