Provider Demographics
NPI:1730553843
Name:CLANTON, LOUANN (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:LOUANN
Middle Name:
Last Name:CLANTON
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 1:11863 W POWERS AVE
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-4515
Mailing Address - Country:US
Mailing Address - Phone:303-304-0313
Mailing Address - Fax:
Practice Address - Street 1:11863 W POWERS AVE
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-4515
Practice Address - Country:US
Practice Address - Phone:303-304-0313
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-01
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP8315363LF0000X
COC-APN-0003150-C-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily