MEDICARE: MRS. BARBRA RACHEL ROLDAN FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	APN.0999759-NP	CO

General Provider Information

NPI Number	:	1760330096
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BARBRA RACHEL ROLDAN FNP-C

Provider Business Mailing Address
First Line	:	923 TARI DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80921-2256
Country	:	US
Telephone Number	:	626-676-4919
Fax Number	:

Provider Business Practice Location Address
First Line	:	3700 GALLEY RD
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80909-4413
Country	:	US
Telephone Number	:	719-355-1172
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2026
Last Update Date	:	03/20/2026

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