MEDICARE: KARLEY BOLTJES FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	APN.0997716-NP	CO

General Provider Information

NPI Number	:	1124751342
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARLEY BOLTJES FNP

Provider Business Mailing Address
First Line	:	900 EGGLESTON ST
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80524-9615
Country	:	US
Telephone Number	:	970-567-3240
Fax Number	:

Provider Business Practice Location Address
First Line	:	900 EGGLESTON ST
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80524-9615
Country	:	US
Telephone Number	:	970-567-3240
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2022
Last Update Date	:	04/06/2026

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