Provider Demographics
NPI:1568282028
Name:COLAGROSSI, ANNA ROSE (RN)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:ROSE
Last Name:COLAGROSSI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:669 N WASHINGTON ST APT 602
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-3837
Mailing Address - Country:US
Mailing Address - Phone:224-655-8242
Mailing Address - Fax:
Practice Address - Street 1:3280 S WADSWORTH BLVD
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80227-5002
Practice Address - Country:US
Practice Address - Phone:303-649-3620
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-10
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1690633163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse