Provider Demographics
NPI:1518856467
Name:ROZMAN, KIMBERLY L (MSN, RN, CWON)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:L
Last Name:ROZMAN
Suffix:
Gender:F
Credentials:MSN, RN, CWON
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29143 WILD ROSE DR
Mailing Address - Street 2:
Mailing Address - City:EVERGREEN
Mailing Address - State:CO
Mailing Address - Zip Code:80439-8439
Mailing Address - Country:US
Mailing Address - Phone:303-669-6167
Mailing Address - Fax:
Practice Address - Street 1:29143 WILD ROSE DR
Practice Address - Street 2:
Practice Address - City:EVERGREEN
Practice Address - State:CO
Practice Address - Zip Code:80439-8439
Practice Address - Country:US
Practice Address - Phone:303-669-6167
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-02
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN0188047163WW0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WW0000XNursing Service ProvidersRegistered NurseWound Care