Individual provider · Type 1 NPI
Lisa Leilani Van Tine, CPNP, CNS
Pediatric Nurse Practitioner · Aurora, CO
NPI number
1508973074
Active
Practice location
3292 Peoria St
Aurora, CO 80010-1517
Fax (303) 344-0664
Mailing address
3701 S Broadway
Englewood, CO 80113-3611
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN.0127666 (CO) |
| Nurse Practitioner | 363L00000X | RXN.0006301-NP (CO) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | APN.0004136-NP (CO) |
Pediatric Nurse Practitioner: Definition to come...
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Other pediatric nurse practitioner providers in Aurora
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- Brandi Dennison Farrell, MSN, CPNP- AC, PCPediatric Nurse Practitioner Aurora, CO NPI 1023152030
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- Samantha Mary Gimelli Lange, FNP-CPediatric Nurse Practitioner Aurora, CO NPI 1023781523
- Nicole Alina Prete Linehan, CPNP-ACPediatric Nurse Practitioner Aurora, CO NPI 1023794252
- Kerry Z. Reed, PNPPediatric Nurse Practitioner Aurora, CO NPI 1033315254
About NPI 1508973074
Lisa Leilani Van Tine, CPNP, CNS's National Provider Identifier is 1508973074, issued on Aug 23, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Aurora, CO. The record was last updated on Jan 16, 2019.