Healthcare Provider Details

I. General information

NPI: 1316006232
Provider Name (Legal Business Name): SUSAN C DOCKINS FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/06/2006
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1550 NIAGARA RD
MONTROSE CO
81401-5027
US

IV. Provider business mailing address

1550 NIAGARA RD
MONTROSE CO
81401-5027
US

V. Phone/Fax

Practice location:
  • Phone: 970-497-4921
  • Fax: 855-855-4482
Mailing address:
  • Phone: 970-497-4921
  • Fax: 855-855-4482

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP2327
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN0992764NP
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number847226
License Number StateNV
# 4
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberC-APN.0000451-C-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: