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Individual

SUSAN SEYDOR NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2101 KEN PRATT BLVD STE 200, LONGMONT, CO 80501-6568
(303) 649-3500
(303) 649-3501
Mailing address
PO BOX 911057, DENVER, CO 80291-1057
(800) 953-0104
(303) 765-6640

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.0056543
CO
363LF0000X
Family Nurse Practitioner
Primary
APN.0000027-NP
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
07565435
CO
Enumeration date
07/07/2005
Last updated
04/16/2019
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