Healthcare Provider Details

I. General information

NPI: 1184556565
Provider Name (Legal Business Name): NICOLE WELKER FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2121 NORTH AVE
GRAND JUNCTION CO
81501-6428
US

IV. Provider business mailing address

3085 BISON AVE
GRAND JUNCTION CO
81504-4261
US

V. Phone/Fax

Practice location:
  • Phone: 970-242-0731
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberAPN.1001684-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: