Healthcare Provider Details
I. General information
NPI: 1790605921
Provider Name (Legal Business Name): ROOT & REMEDY INTEGRATIVE CARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
308 TIFLIN CT
FORT COLLINS CO
80525-7096
US
IV. Provider business mailing address
2519 S SHIELDS ST STE 1K
FORT COLLINS CO
80526-1855
US
V. Phone/Fax
- Phone: 970-344-9738
- Fax:
- Phone: 970-344-9738
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SHERI
DANIELLE
ERWIN
Title or Position: OWNER
Credential:
Phone: 623-521-8414