Healthcare Provider Details

I. General information

NPI: 1205765138
Provider Name (Legal Business Name): ARIEL WERTENBERGER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 STANLEY RD
DUMONT CO
80436-5097
US

IV. Provider business mailing address

1410 WALNUT AVE
GRAND JUNCTION CO
81501-4239
US

V. Phone/Fax

Practice location:
  • Phone: 303-434-0389
  • Fax:
Mailing address:
  • Phone: 970-640-0369
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License Number056903
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: