MEDICARE: ROSE ANN GATES

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	363L00000X	Nurse Practitioner	100628	CO

General Provider Information

NPI Number	:	1679611594
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSE ANN GATES

Provider Business Mailing Address
First Line	:	2695 ROCKY MOUNTAIN AVE STE 150
Second Line	:
City	:	LOVELAND
State	:	CO
Zip	:	80538-9071
Country	:	US
Telephone Number	:	970-624-2417
Fax Number	:	970-490-4173

Provider Business Practice Location Address
First Line	:	525 BOB PETERS GRV STE 202
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80909-4533
Country	:	US
Telephone Number	:	719-365-6568
Fax Number	:	719-365-6317

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

Provider Enumeration Date	:	02/02/2007
Last Update Date	:	01/27/2025

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Directions to “ ROSE ANN GATES ” Practice Location

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