SAMUEL LAWRENCE WIDDOWSON FNP-BC NPI 1962831354

NPI Information

  • NPI: 1962831354
  • Provider Name: SAMUEL LAWRENCE WIDDOWSON, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 3676 PARKER BLVD
    PUEBLO, CO
    ZIP 81008
  • Phone: (484) 619-1973

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NPI Details

Samuel Lawrence Widdowson, FNP-BC is a family nurse practitioner in Pueblo, CO. Samuel Lawrence Widdowson, FNP-BC NPI is 1962831354. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3676 PARKER BLVD
PUEBLO, CO
ZIP 81008-212
Phone: (484) 619-1973

The enumeration date for this NPI number is 11/6/2013 and was last updated on 9/20/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilySP013311PENNSYLVANIANo
2363LF0000XNurse PractitionerFamilyAPN.0991213-NPCOLORADOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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