Healthcare Provider Details

I. General information

NPI: 1023807401
Provider Name (Legal Business Name): CHRISTA ANN RUTLEDGE FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2025
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3702 S TIMBERLINE RD STE A
FORT COLLINS CO
80525-3625
US

IV. Provider business mailing address

3702 S TIMBERLINE RD STE A
FORT COLLINS CO
80525-3625
US

V. Phone/Fax

Practice location:
  • Phone: 970-207-9773
  • Fax: 970-207-1893
Mailing address:
  • Phone: 970-207-9773
  • Fax: 970-207-1893

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.1000328-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: