Provider Demographics
NPI:1215739693
Name:SIMOVIC, ROSALIE MARY (RN, BSN)
Entity type:Individual
Prefix:
First Name:ROSALIE
Middle Name:MARY
Last Name:SIMOVIC
Suffix:
Gender:
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4745 RUSHFORD PL
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80923-7520
Mailing Address - Country:US
Mailing Address - Phone:847-863-0081
Mailing Address - Fax:
Practice Address - Street 1:4745 RUSHFORD PL
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80923-7520
Practice Address - Country:US
Practice Address - Phone:847-863-0081
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1666385163WX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0200XNursing Service ProvidersRegistered NurseOncology