Healthcare Provider Details

I. General information

NPI: 1437661170
Provider Name (Legal Business Name): COURTNEY WEIR NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/03/2017
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4450 UNION ST STE 201
JOHNSTOWN CO
80534-2864
US

IV. Provider business mailing address

4450 UNION ST STE 201
JOHNSTOWN CO
80534-2864
US

V. Phone/Fax

Practice location:
  • Phone: 970-400-0318
  • Fax: 970-900-8714
Mailing address:
  • Phone: 970-400-0318
  • Fax: 970-900-8714

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1652319
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.0993578
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number854409
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: