Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 21663 | NE |
N | 111NI0900X | Internist | 21663 | NE |
Y | 207RH0002X | Hospice and Palliative Medicine | 0051002 | CO |
NPI | 1386611481 |
---|---|
Provider Name | Anne Buckley Rossignol |
First Address | Colorado Springs, CO 80906-7746 |
Second Address | Fort Carson, CO 80913 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/03/2006 |
Last Update Date | 19/05/2017 |