Healthcare Provider Details

I. General information

NPI: 1689009730
Provider Name (Legal Business Name): GRETCHEN ROVINSKY FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2013
Last Update Date: 09/09/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23400 E SMOKY HILL RD # 120
AURORA CO
80016-1598
US

IV. Provider business mailing address

23400 E SMOKY HILL RD # 120
AURORA CO
80016-1598
US

V. Phone/Fax

Practice location:
  • Phone: 303-341-4411
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN0990874
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: