Provider Demographics
NPI:1841418696
Name:MEDINA, ROSARIO (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:ROSARIO
Middle Name:
Last Name:MEDINA
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13120 E 19TH AVE
Mailing Address - Street 2:C288-5
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80045-2567
Mailing Address - Country:US
Mailing Address - Phone:303-724-8816
Mailing Address - Fax:303-724-8560
Practice Address - Street 1:13120 E 19TH AVE
Practice Address - Street 2:C288-5
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-2567
Practice Address - Country:US
Practice Address - Phone:303-724-8816
Practice Address - Fax:303-724-8560
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2020-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2540642363LF0000X
COAPN 0991550-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily