Healthcare Provider Details

I. General information

NPI: 1689014250
Provider Name (Legal Business Name): REBECCA L WERNLI APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2013
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 15TH ST STE 310
GREELEY CO
80631-4562
US

IV. Provider business mailing address

1800 15TH ST STE 310
GREELEY CO
80631-4562
US

V. Phone/Fax

Practice location:
  • Phone: 970-810-0900
  • Fax: 970-810-3795
Mailing address:
  • Phone: 970-810-0900
  • Fax: 970-810-3795

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberC-APN.0107065-C-NP
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number76122
License Number StateKS
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberC-RXN.0104514-C-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: