Individual
HEIDI TERESA MIZONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
10240 PARK MEADOWS DR, LONE TREE, CO 80124-5425
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
168287
CO
363L00000X
Nurse Practitioner
APN.0005697-NP
CO
363LF0000X
Family Nurse Practitioner
168287
CO
363LF0000X
Family Nurse Practitioner
Primary
APN.0005697-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154598050
—
WY
05
—
3109324
—
TX
05
—
36351288
—
CO
01
—
CO306359
RIA MEDICARE TBLZR
CO
Enumeration date
05/11/2008
Last updated
07/27/2021
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