Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elizabeth Fanning, FNP-BC

Individual provider Family Medicine Physician · NPI 1699328120

Elizabeth Fanning, FNP-BC is a Nurse Practitioner in Superior, Colorado. Qualified in 2019, 7 years ago. Practices with Canon Professional Wellness Clinic LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
7
Licensed in
CO
In the registry since
2019
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

400 S McCaslin Blvd
Superior, CO 80027-9731
Phone: (720) 222-0648
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APN.0994761 (CO)
Family Medicine Physician Taxonomy 207Q00000X · Licence APN.0994761-NP (CO)

Record details

NPI number1699328120
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedJuly 23, 2019
Last updated in NPPESMay 1, 2020
Certification dateMay 1, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Canon Professional Wellness Clinic Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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