Healthcare Provider Details
I. General information
NPI: 1831087618
Provider Name (Legal Business Name): ANDREA TORRES FUJIMOTO FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/27/2025
Last Update Date: 09/19/2026
Certification Date: 09/19/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1735 S PUBLIC RD
LAFAYETTE CO
80026-7093
US
IV. Provider business mailing address
1735 S PUBLIC RD
LAFAYETTE CO
80026-7093
US
V. Phone/Fax
- Phone: 303-995-1415
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | APN.1002245-NP |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: