Healthcare Provider Details

I. General information

NPI: 1487086260
Provider Name (Legal Business Name): LINDA JEAN NELSON FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2013
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1221 W ELIZABETH ST
FORT COLLINS CO
80521-4508
US

IV. Provider business mailing address

1221 W ELIZABETH ST
FORT COLLINS CO
80521-4508
US

V. Phone/Fax

Practice location:
  • Phone: 970-818-5745
  • Fax: 833-973-4897
Mailing address:
  • Phone: 970-818-5745
  • Fax: 833-973-4897

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.0998848-NP
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberAPN.0994411-CNM
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: