Widdowson, Samuel Lawrence

Widdowson, Samuel Lawrence is an individual health care provider with primary practice located at 3676 Parker Blvd , Pueblo CO 81008-2212. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Widdowson, Samuel Lawrence can be contacted via phone (484) 619-1973.

Contact Information

Primary practice address
3676 Parker Blvd Pueblo CO 81008-2212
Phone: (484) 619-1973
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X SP013311 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN.0991213-NP Colorado

Profile Details

NPI number 1962831354
LBN Legal business name Widdowson, Samuel Lawrence
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2013
Last updated Sep 20th, 2016 - about 10 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.

Request for update

Popular Providers