MEDICARE: MRS. ROSARIO MEDINA ARNP

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	2540642	FL
2	363LF0000X	Family Nurse Practitioner	APN 0991550-NP	CO

General Provider Information

NPI Number	:	1841418696
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ROSARIO MEDINA ARNP

Provider Business Mailing Address
First Line	:	13120 E 19TH AVE
Second Line	:	C288-5
City	:	AURORA
State	:	CO
Zip	:	80045-2567
Country	:	US
Telephone Number	:	303-724-8816
Fax Number	:	303-724-8560

Provider Business Practice Location Address
First Line	:	13120 E 19TH AVE
Second Line	:	C288-5
City	:	AURORA
State	:	CO
Zip	:	80045-2567
Country	:	US
Telephone Number	:	303-724-8816
Fax Number	:	303-724-8560

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

Provider Enumeration Date	:	04/24/2007
Last Update Date	:	03/18/2020

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