Healthcare Provider Details

I. General information

NPI: 1851461776
Provider Name (Legal Business Name): JANET MARIE BELTZ FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/08/2006
Last Update Date: 10/12/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 16TH ST WOUND CARE CENTER AREA 3 C
GREELEY CO
80631-5154
US

IV. Provider business mailing address

1801 16TH ST WOUND CARE CENTER AREA 3 C
GREELEY CO
80631-5154
US

V. Phone/Fax

Practice location:
  • Phone: 970-350-6075
  • Fax: 970-350-6072
Mailing address:
  • Phone: 970-350-6075
  • Fax: 970-350-6072

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number56807
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: