Nicolaus Gus Rosete, NP
Nurse Practitioner, Primary Care in Lakeport, CA. Individual provider (NPI-1).
NPI number1982116141
StatusActive
Last updated in NPPESMar 27, 2025
Details
- NPI
- 1982116141
- Entity type
- Individual (NPI-1)
- Name
- Nicolaus Gus Rosete
- Credential
- NP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 27, 2017
- Certification date
- Mar 27, 2025
- Last updated
- Mar 27, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP2300X | Nurse Practitioner, Primary Care | 95007370 | CA | Yes |
Practice location
4913 Helbush DrLakeport, CA 95453-7060
Phone 707-262-4253
Mailing address
1023 E Vaught CtWest Covina, CA 91792-1056
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