Provider Demographics
NPI:1518348176
Name:ROSSMAN, KAREN L (RN IBCLC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:L
Last Name:ROSSMAN
Suffix:
Gender:F
Credentials:RN IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2430 19TH AVE
Mailing Address - Street 2:
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80631-8124
Mailing Address - Country:US
Mailing Address - Phone:970-356-7717
Mailing Address - Fax:
Practice Address - Street 1:2430 19TH AVE
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80631-8124
Practice Address - Country:US
Practice Address - Phone:970-356-7717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-09
Last Update Date:2015-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0062420163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant