Provider Demographics
NPI:1902322852
Name:ROCKWOOD, SHERI NIELSEN (FNP)
Entity Type:Individual
Prefix:
First Name:SHERI
Middle Name:NIELSEN
Last Name:ROCKWOOD
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2860 S CIRCLE DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80906-4113
Mailing Address - Country:US
Mailing Address - Phone:719-540-2100
Mailing Address - Fax:719-488-5775
Practice Address - Street 1:15435 GLENEAGLE DR STE 102
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80921-2532
Practice Address - Country:US
Practice Address - Phone:719-540-2127
Practice Address - Fax:719-488-5775
Is Sole Proprietor?:No
Enumeration Date:2017-08-22
Last Update Date:2022-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0993222363LF0000X
CO0993222-NP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily