Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 45937 | CO |
N | 111NI0900X | Internist | 45937 | CO |
N | 207RC0200X | Critical Care Medicine | 45937 | CO |
Y | 207RP1001X | Pulmonary Disease | 45937 | CO |
N | 207RS0012X | Sleep Medicine | 45937 | CO |
NPI | 1336333756 |
---|---|
Provider Name | Ana Negron |
First Address | Fort Collins, CO 80528-3403 |
Second Address | Loveland, CO 80538-9004 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2007 |
Last Update Date | 29/10/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1336333756 | RAILROAD MEDICARE (01) | CO |
99379813 | (05) | CO |