Healthcare Provider Details

I. General information

NPI: 1356993190
Provider Name (Legal Business Name): LAUREN WEISSING
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2019
Last Update Date: 11/04/2025
Certification Date: 11/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4610 S ULSTER ST STE 150
DENVER CO
80237-4326
US

IV. Provider business mailing address

1381 SW EAGLE NEST WAY
PALM CITY FL
34990-4223
US

V. Phone/Fax

Practice location:
  • Phone: 888-803-3370
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberC-APN.0002428-C-NP
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11003200
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number13998074-4405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: