Individual provider · Type 1 NPI

Lisa L. Medina, NP

Nurse Practitioner · Wheat Ridge, CO

NPI number 1629646179 Active

Practice location

4251 Kipling St Unit 220
Wheat Ridge, CO 80033-2897

Fax (303) 424-0205

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAPN.0996552-NP (CO)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1629646179

Lisa L. Medina, NP's National Provider Identifier is 1629646179, issued on Jun 11, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Wheat Ridge, CO. The record was last updated on Apr 27, 2022.