Provider Demographics
NPI:1164653606
Name:NOZEA, ROSE-DELILLE (RNBSNMHM)
Entity Type:Individual
Prefix:
First Name:ROSE-DELILLE
Middle Name:
Last Name:NOZEA
Suffix:
Gender:F
Credentials:RNBSNMHM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6280 S BOSTON STREET
Mailing Address - Street 2:SUITE 1333
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80111-5318
Mailing Address - Country:US
Mailing Address - Phone:617-216-6376
Mailing Address - Fax:303-290-1124
Practice Address - Street 1:6280 SOUTH BOSTON STREET
Practice Address - Street 2:SUITE 1333
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80111-5318
Practice Address - Country:US
Practice Address - Phone:617-216-6376
Practice Address - Fax:303-290-1124
Is Sole Proprietor?:No
Enumeration Date:2009-07-31
Last Update Date:2009-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO190281163W00000X
FL9266542163W00000X
CA752418163W00000X
MA237786163W00000X
KS106168163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse