Provider Demographics
NPI:1629590146
Name:TRUESDALE, AMELIA ANNE (FNP)
Entity Type:Individual
Prefix:
First Name:AMELIA
Middle Name:ANNE
Last Name:TRUESDALE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:AMELIA
Other - Middle Name:
Other - Last Name:MARTIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:2695 ROCKY MOUNTAIN AVE STE 150
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-9071
Mailing Address - Country:US
Mailing Address - Phone:970-624-4123
Mailing Address - Fax:970-490-4173
Practice Address - Street 1:1220 LAKE PLAZA DR STE 150
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80906-3548
Practice Address - Country:US
Practice Address - Phone:719-365-3600
Practice Address - Fax:719-365-3601
Is Sole Proprietor?:No
Enumeration Date:2017-07-17
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0994976-NP363LF0000X
MARN2313025163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse