Provider Demographics
NPI:1013631688
Name:RIZZO, ASHA ANNAH (FNP-C)
Entity Type:Individual
Prefix:
First Name:ASHA
Middle Name:ANNAH
Last Name:RIZZO
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 HEALTH PARK DR STE 270
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80027-4644
Mailing Address - Country:US
Mailing Address - Phone:303-649-3180
Mailing Address - Fax:303-269-2780
Practice Address - Street 1:611 MITCHELL WAY STE 103
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:CO
Practice Address - Zip Code:80516-5443
Practice Address - Country:US
Practice Address - Phone:303-649-4108
Practice Address - Fax:303-269-2790
Is Sole Proprietor?:No
Enumeration Date:2022-09-28
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0998046-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily