Individual
JORDAN LEVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
180 S FRONTAGE RD W, VAIL, CO 81657-5038
(970) 476-2451
Mailing address
PO BOX 6383, EAGLE, CO 81631-0016
(720) 236-7252
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
1665218
CO
363LF0000X
Family Nurse Practitioner
Primary
1000089-NP
CO
Other
Enumeration date
06/28/2023
Last updated
10/30/2025
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