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Individual

ROSHIN MATHEW KOOPLICAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
1300 MAIN ST, WINDSOR, CO 80550-5989
(970) 686-5646
Mailing address
3508 E 140TH PL, THORNTON, CO 80602-8882
(404) 494-6269

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1000749
CO

Other

Enumeration date
07/02/2025
Last updated
12/23/2025
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