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SAMUEL LAWRENCE WIDDOWSON FNP-BC
NPI 1962831354
Nurse Practitioner - Family in Pueblo, CO

Active since November 06, 2013
3676 PARKER BLVD, PUEBLO, CO 81008(484) 619-1973 Get Directions Write a Review

NPPES record last updated: September 20, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Samuel Lawrence Widdowson Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUEL LAWRENCE WIDDOWSON FNP-BC (NPI 1962831354) is an individual family provider in Pueblo, Colorado, licensed in Colorado (APN.0991213-NP) and active in the NPI registry since November 2013.

NPPES Registry Identity

NPI1962831354
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameSAMUEL LAWRENCE WIDDOWSONCredential: FNP-BC
Location Address3676 PARKER BLVDPueblo, CO 81008-2212
Mailing Address3676 Parker BlvdPueblo, CO 81008-2212 · (484) 619-1973
Phone(484) 619-1973
Sole ProprietorNo
Enumeration DateNovember 6, 2013
Last NPPES UpdateSeptember 20, 2016
✔ NPI 1962831354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in CO · APN.0991213-NP✔ Licensed in PA · SP013311
3676 PARKER BLVD, Pueblo, CO 81008
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. RITA ANN ELLSWORTH MD
Pediatrics
3676 PARKER BLVD
PUEBLO, CO 81008
Pueblo County (719) 553-2200
MS. MARSHA R FLOWERS OTC
3676 PARKER BLVD
PUEBLO, CO 81008
Pueblo County (719) 553-2206
HAVILAH R. SPURLOCK FNP-C
Nurse Practitioner (Family)
3676 PARKER BLVD
PUEBLO, CO 81008
Pueblo County (719) 553-2200
JENNIFER LIVINGSTON
Nurse Practitioner (Family)
3676 PARKER BLVD
PUEBLO, CO 81008
Pueblo County (719) 553-2200
DR. QUEENTER KISANG MD
Family Medicine
3676 PARKER BLVD
PUEBLO, CO 81008
Pueblo County (719) 553-1804
MISS CARLA RAE PROCTOR M.D.
Pediatrics
3676 PARKER BLVD
PUEBLO, CO 81008
Pueblo County (719) 553-2204
MR. RYAN SCOTT ESLINGER OTC
3676 PARKER BLVD
PUEBLO, CO 81008
Pueblo County (719) 553-2200
UROLOGY OF SOUTHERN COLORADO PLLC
Clinic/Center (Medical Specialty)
3676 PARKER BLVD, SUITE 310
PUEBLO, CO 81008
Pueblo County (719) 545-1500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Widdowson's NPI number?

The NPI number for Samuel Widdowson is 1962831354. It was assigned to this individual provider in the NPPES registry on November 6, 2013.

Where is Samuel Widdowson located?

Samuel Widdowson practices at 3676 Parker Blvd, Pueblo, CO 81008. The listed phone number is (484) 619-1973.

What is Samuel Widdowson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Samuel Widdowson was last updated on September 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.