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NPI Code Detail

MEDICARE: KAEDEN ROSE PRIMAVERA NREMT

MEDICARE: KAEDEN ROSE PRIMAVERA NREMT
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
1146N00000XBasic Emergency Medical Technician

General Provider Information

NPI Number : 1760348668
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAEDEN ROSE PRIMAVERA NREMT
Provider Business Mailing Address
First Line : 4856 INNOVATION DR
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-5539
Country : US
Telephone Number : 970-494-4200
Fax Number : 844-270-1824
Provider Business Practice Location Address
First Line : 4856 INNOVATION DR
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-5539
Country : US
Telephone Number : 970-494-4200
Fax Number : 844-270-1824
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2026
Last Update Date : 03/11/2026

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Directions to “ KAEDEN ROSE PRIMAVERA NREMT” Practice Location

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