Individual
SAMPSON NDIKUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
802 W DRAKE RD STE 145, FORT COLLINS, CO 80526-5567
(970) 449-5122
Mailing address
802 W DRAKE RD STE 145, FORT COLLINS, CO 80526-5567
(970) 449-5122
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0998960
CO
Other
Enumeration date
07/26/2023
Last updated
07/26/2023
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