Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | APN.0995689-NP | CO |
Y | 363LA2100X | Nurse Practitioner - Acute Care | APN.0995689-NP | CO |
N | 363LA2200X | Nurse Practitioner - Adult Health | APN.0995689-NP | CO |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | APN.0995689-NP | CO |
N | 363LG0600X | Nurse Practitioner - Gerontology | APN.0995689-NP | CO |
NPI | 1528676715 |
---|---|
Provider Name | Michael Lozen |
First Address | Windsor, CO 80550-3179 |
Second Address | Fort Collins, CO 80526-5567 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2020 |
Last Update Date | 17/09/2021 |