Samuel Lawrence Widdowson, FNP-BC

NPI #1962831354 in Pueblo, Colorado

Provider Information

NPI Number
1962831354
Entity Type
Individual
Name
Samuel Lawrence Widdowson, FNP-BC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
FNP-BC
Enumeration Date
Nov 6, 2013
Last Updated
Sep 20, 2016

Practice Location

Address
3676 PARKER BLVD
City
Pueblo
ZIP Code
81008-2212
Phone
(484) 619-1973

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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