NPI 1588524961
Pediatric Neurology and Epilepsy Specialists, PLLC
Practice location
- Address
- 2021 Boise Ave, Loveland, CO 80538-5037
- Phone
- (303) 226-7230
- Mailing address
- 9235 N Union Blvd STE 150334, Colorado Springs, CO 80920-7831
Authorised official
- Name
- Alicia Licano
- Title
- Credentialing Manager
- Phone
- (800) 506-8933
Registered specialties
Neurology with Special Qualifications in Child Neurology Physician
Primary
Registry record
- NPI
- 1588524961
- Entity type
- Organization
- NPI issued
- 17 Nov 2025
- Record last updated
- 17 Nov 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.