Individual
SAMANTHA IZAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-BC
Contact information
Practice address
1700 WHEELING ST, AURORA, CO 80045-7211
(720) 723-3300
Mailing address
1700 WHEELING ST # K1-131, AURORA, CO 80045-7211
(720) 723-3446
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1651012
CO
163W00000X
Registered Nurse
657654
NY
363LF0000X
Family Nurse Practitioner
339685
NY
363LF0000X
Family Nurse Practitioner
Primary
APN0993943
CO
Other
Enumeration date
03/17/2015
Last updated
10/13/2021
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