Individual provider · Type 1 NPI

Samuel Lawrence Widdowson, FNP-BC

Family Nurse Practitioner · Pueblo, CO

NPI number 1962831354 Active

Practice location

3676 Parker Blvd
Pueblo, CO 81008-2212

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XSP013311 (PA)
Family Nurse Practitioner Primary 363LF0000XAPN.0991213-NP (CO)

Family Nurse Practitioner: Definition to come...

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About NPI 1962831354

Samuel Lawrence Widdowson, FNP-BC's National Provider Identifier is 1962831354, issued on Nov 6, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Pueblo, CO. The record was last updated on Sep 20, 2016.