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Individual

LINDSEY ROUSSIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, APRN, FNP-C

Contact information

Practice address
2345 BENT WAY, LONGMONT, CO 80503-7614
(303) 338-4545
Mailing address
2345 BENT WAY, LONGMONT, CO 80503-7614
(303) 338-4545

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0990880-NP
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
026643
KAISER COMMERCIAL NUMBER
CO
05
67104860
CO
Enumeration date
02/24/2014
Last updated
07/20/2015
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