Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225000000X | Orthotic Fitter | APN.0995025-NP | CO |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | APN.0995025-NP | CO |
N | 363LX0106X | Nurse Practitioner - Occupational Health | 0995025 | CO |
NPI | 1871136994 |
---|---|
Provider Name | Rosha Dhakal |
First Address | Centennial, CO 80015-4114 |
Second Address | Golden, CO 80401-5069 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/10/2019 |
Last Update Date | 04/03/2021 |