Healthcare Provider Details

I. General information

NPI: 1699693366
Provider Name (Legal Business Name): BOBBI KAE WARNER FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

471 S BALDWIN ST STE 302
WOODLAND PARK CO
80863-3218
US

IV. Provider business mailing address

471 S BALDWIN ST STE 302
WOODLAND PARK CO
80863-3218
US

V. Phone/Fax

Practice location:
  • Phone: 719-602-6098
  • Fax: 719-309-2079
Mailing address:
  • Phone: 719-602-6098
  • Fax: 719-309-2079

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.1002136-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: