Provider Demographics
NPI:1447445119
Name:LAMANNA, JAMIE (ARNP)
Entity type:Individual
Prefix:MS
First Name:JAMIE
Middle Name:
Last Name:LAMANNA
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:
Other - Last Name:SHORT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:PO BOX 35380
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89133-5380
Mailing Address - Country:US
Mailing Address - Phone:719-463-5600
Mailing Address - Fax:719-538-2990
Practice Address - Street 1:6340 BARNES RD
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80922
Practice Address - Country:US
Practice Address - Phone:719-522-1133
Practice Address - Fax:719-576-2025
Is Sole Proprietor?:No
Enumeration Date:2007-09-06
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9233164363LF0000X
COAPN.0993594-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO9000164642Medicaid
FLRN9233164OtherNURSE PRACTIONER