Individual
MRS. ANNALIESE M JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2121 E HARMONY RD, STE 100, FORT COLLINS, CO 80528-3400
(970) 221-1000
(970) 297-6860
Mailing address
2121 E HARMONY RD, STE 100, FORT COLLINS, CO 80528-3400
(970) 221-1000
(970) 297-6860
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.0125748
CO
363L00000X
Nurse Practitioner
APN.0990723-NP
CO
363LF0000X
Family Nurse Practitioner
Primary
APN.0990723-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
303146001
—
TX
05
—
58074228
—
CO
Enumeration date
08/17/2007
Last updated
05/10/2016
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