MEDICARE: MADISON DREW LOHMANN WHCNP

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	363LW0102X	Women's Health Nurse Practitioner	APN.1001310-NP	CO

General Provider Information

NPI Number	:	1174485650
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADISON DREW LOHMANN WHCNP

Provider Business Mailing Address
First Line	:	1707 GROVE ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80204-1728
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4745 ARAPAHOE AVE STE 110
Second Line	:
City	:	BOULDER
State	:	CO
Zip	:	80303-1082
Country	:	US
Telephone Number	:	303-444-5110
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2025
Last Update Date	:	12/02/2025

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