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NPI Code Detail

MEDICARE: BRIANNA L ROSELLES

MEDICARE: BRIANNA L ROSELLES
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
1104100000XSocial WorkerLSW.0009923926CO
21041C0700XClinical Social WorkerCSW.09928141CO

General Provider Information

NPI Number : 1922751775
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIANNA L ROSELLES
Provider Business Mailing Address
First Line : 1650 S TOPAZ WAY
Second Line :
City : MERIDIAN
State : ID
Zip : 83642-4474
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3800 AUTOMATION WAY STE 102
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-3451
Country : US
Telephone Number : 970-900-5835
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2022
Last Update Date : 06/27/2025

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Directions to “ BRIANNA L ROSELLES ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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