Individual
LAURA N AMEDRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN FNP BC
Contact information
Practice address
730 N SUMMIT BLVD, STE 101, FRISCO, CO 80443
(970) 668-1616
(970) 668-5650
Mailing address
PO BOX 4250, FRISCO, CO 80443-4250
(970) 668-1616
(970) 668-5650
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
990454
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
56006578
—
CO
Enumeration date
08/29/2012
Last updated
02/28/2014
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