Healthcare Provider Details

I. General information

NPI: 1548471014
Provider Name (Legal Business Name): CHRISTINE WEBER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2007
Last Update Date: 05/07/2020
Certification Date: 05/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1835 FRANKLIN ST 5 SOUTH TOWER #530
DENVER CO
80218-1126
US

IV. Provider business mailing address

3408 E 16TH AVE
DENVER CO
80206-1806
US

V. Phone/Fax

Practice location:
  • Phone: 303-866-8444
  • Fax: 303-866-8446
Mailing address:
  • Phone: 303-594-5713
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number163958
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberNP-4080
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberRXN 04-042
License Number StateCO
# 4
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPN.0004080-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: