Rose Stratton Corenman, CRNFA

Individual provider Active NPI Registered Nurse First Assistant · Vail, CO

NPI 1407970163 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1407970163
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse First Assistant 163WR0006X
License
106668 (CO)
Practice address
181 W Meadow Dr
Vail, CO 81657
Phone
(970) 376-4153
Fax
(970) 926-0567
NPI assigned
Mar 19, 2007
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
106668COMDRegistered Nurse First Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Surgical Assisting Services Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X 106668 CO Yes

Addresses

Primary practice location

181 W Meadow Dr
Vail, CO 81657

Mailing address

PO Box 959
Edwards, CO 81632
Phone (970) 376-4153

Other providers in Vail, CO

All providers in Vail, CO · Registered Nurse First Assistant in Colorado

Sources for this page

Verify at the official NPI Registry.