Healthcare Provider Details

I. General information

NPI: 1740975929
Provider Name (Legal Business Name): REAGAN ALAYNE URIOSTE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: REAGAN ALAYNE HORSTMEYER

II. Dates (important events)

Enumeration Date: 04/05/2023
Last Update Date: 10/23/2025
Certification Date: 10/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 CARPENTER RD
FORT COLLINS CO
80525-4248
US

IV. Provider business mailing address

7404 THISTLEDOWN DR
WINDSOR CO
80550-8429
US

V. Phone/Fax

Practice location:
  • Phone: 970-663-3500
  • Fax: 970-663-1180
Mailing address:
  • Phone: 970-342-8451
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.0998593-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: