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

Samuel Lawrence Widdowson, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1962831354

Samuel Lawrence Widdowson, FNP-BC is a Family Nurse Practitioner in Pueblo, Colorado. Licensed in Colorado and Pennsylvania. Registered with an NPI since 2013.

Licensed in
CO, PA
In the registry since
2013
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

3676 Parker Blvd
Pueblo, CO 81008-2212
Phone: (484) 619-1973
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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.0991213-NP (CO)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence SP013311 (PA)

Record details

NPI number1962831354
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedNovember 6, 2013
Last updated in NPPESSeptember 20, 2016

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