Healthcare Provider Details

I. General information

NPI: 1316293111
Provider Name (Legal Business Name): LINDSEY MARIE RENNER RN, MSN, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LINDSEY MARIE NAU

II. Dates (important events)

Enumeration Date: 07/30/2012
Last Update Date: 03/11/2025
Certification Date: 03/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8745 COUNTY ROAD 9 S
ALAMOSA CO
81101-9610
US

IV. Provider business mailing address

24068 E ATLANTIC PL
AURORA CO
80018-6201
US

V. Phone/Fax

Practice location:
  • Phone: 719-589-3671
  • Fax:
Mailing address:
  • Phone: 301-992-5239
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number188723
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.0990437-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: