Individual
LISA M RADICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2121 E HARMONY RD, SUITE 160, FORT COLLINS, CO 80528-3400
(970) 482-3328
(970) 482-1433
Mailing address
2121 E HARMONY RD, SUITE 160, FORT COLLINS, CO 80528-3400
(970) 482-3328
(970) 482-1433
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
160294
CO
363L00000X
Nurse Practitioner
Primary
4973
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37724878
—
CO
Enumeration date
01/22/2007
Last updated
01/22/2015
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