Individual
AMY S DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2121 E HARMONY RD UNIT 100, FORT COLLINS, CO 80528-3401
(970) 221-1000
Mailing address
4373 LOOKOUT DR, LOVELAND, CO 80537-3400
(303) 253-0593
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.0140894
CO
363LF0000X
Family Nurse Practitioner
Primary
APN.0994148-NP
CO
Other
Enumeration date
09/04/2018
Last updated
09/29/2018
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