MEDICARE: ADVANCED NEUROLOGY OF COLORADO, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist

General Provider Information

NPI Number	:	1972556991
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED NEUROLOGY OF COLORADO, LLC

Provider Business Mailing Address
First Line	:	2121 E HARMONY RD UNIT 180
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80528-3401
Country	:	US
Telephone Number	:	970-226-6111
Fax Number	:	970-226-6707

Provider Business Practice Location Address
First Line	:	2121 E HARMONY RD
Second Line	:	SUITE 180
City	:	FORT COLLINS
State	:	CO
Zip	:	80528-3400
Country	:	US
Telephone Number	:	970-226-6111
Fax Number	:	970-226-6707

Authorized Official
Title or Position	:	DIRECTOR OF RCM
Name	:	LATOYA ALYCE A BELL
Credential	:
Telephone Number	:	720-297-2401

Provider Enumeration Date	:	05/19/2006
Last Update Date	:	05/28/2026

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