Jordan, Annaliese M
Jordan, Annaliese M is an individual health care provider with primary practice located at 2121 E Harmony Rd Ste 100, Fort Collins CO 80528-3400. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Jordan, Annaliese M can be contacted via phone (970) 221-1000.Contact Information
Primary practice address
2121 E Harmony Rd Ste 100
Fort Collins CO 80528-3400
Phone: (970) 221-1000
Fax: (970) 297-6860
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APN.0990723-NP | Colorado |
| Nursing Service Providers / Registered Nurse | 163W00000X | RN.0125748 | Colorado |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | APN.0990723-NP | Colorado |
Profile Details
| NPI number | 1760674246 |
|---|---|
| LBN Legal business name | Jordan, Annaliese M |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2007 |
| Last updated | May 10th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760674246 | NPPES |
| Texas | MEDICAID | 303146001 | |
| Texas | MEDICAID | 58074228 |
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