Healthcare Provider Details

I. General information

NPI: 1750917431
Provider Name (Legal Business Name): REGINA THOMPSON LOVELEY FNP DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: REGINA ANELE THOMPSON

II. Dates (important events)

Enumeration Date: 03/13/2020
Last Update Date: 06/15/2021
Certification Date: 06/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 ROCKY MOUNTAIN AVE STE 300
LOVELAND CO
80538-9004
US

IV. Provider business mailing address

2500 ROCKY MOUNTAIN AVE STE 300
LOVELAND CO
80538-9004
US

V. Phone/Fax

Practice location:
  • Phone: 970-619-6100
  • Fax:
Mailing address:
  • Phone: 970-619-6100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0994916
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: