Provider Demographics
NPI:1942624598
Name:LOVE, ALISON VICTORIA (FNP)
Entity Type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:VICTORIA
Last Name:LOVE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MS
Other - First Name:ALISON
Other - Middle Name:VICTORIA
Other - Last Name:SMYTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:3150 E 3RD AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-5247
Mailing Address - Country:US
Mailing Address - Phone:303-224-4711
Mailing Address - Fax:303-388-0959
Practice Address - Street 1:3150 E 3RD AVE STE 300
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206
Practice Address - Country:US
Practice Address - Phone:303-224-4711
Practice Address - Fax:303-388-0959
Is Sole Proprietor?:No
Enumeration Date:2014-02-18
Last Update Date:2019-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN0990875NP363L00000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO47070251Medicaid