Healthcare Provider Details
I. General information
NPI: 1174488548
Provider Name (Legal Business Name): LAURA ELLEN STREBECK FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
13700 COLORADO BLVD
THORNTON CO
80602-7024
US
IV. Provider business mailing address
9900 E 157TH AVE
BRIGHTON CO
80602-8604
US
V. Phone/Fax
- Phone: 303-451-4250
- Fax:
- Phone: 970-749-6932
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | F12250069 |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: