MEDICARE: ALLISON ORLANDO FNP-C

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	363L00000X	Nurse Practitioner	0993308	CO

General Provider Information

NPI Number	:	1346763901
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON ORLANDO FNP-C

Provider Business Mailing Address
First Line	:	255 N WASHINGTON ST UNIT 516
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80203-4289
Country	:	US
Telephone Number	:	206-445-4011
Fax Number	:

Provider Business Practice Location Address
First Line	:	3400 LUTHERAN PKWY
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80033-6035
Country	:	US
Telephone Number	:	303-467-4280
Fax Number	:

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

Provider Enumeration Date	:	07/25/2017
Last Update Date	:	12/26/2017

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