NPI 1427159664

Lanny Douglas, APRN

Practitioner Psychiatric/Mental Health Clinical Nurse Specialist Fort Collins, CO

Practice location

Address: 400 East Horsetooth Rd Suite 307, Fort Collins, CO 80525
Phone: (970) 556-4502
Fax: (970) 493-5131
Mailing address: PO Box 271144, Fort Collins, CO 80527-1144

Registered specialties (2)

Psychiatric/Mental Health Clinical Nurse Specialist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364SP0808X Licence 180365-5256 (CO)

Other Clinical Nurse Specialist providers in Colorado →

Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364SP0807X Licence 18756.196 (WY)

Registry record

NPI: 1427159664
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Sep 2006
Record last updated: 21 Aug 2013

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.