MEDICARE: AMY E WEBER NP

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	363L00000X	Nurse Practitioner	162905	CO
2	208D00000X	General Practice Physician	162905	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215067061
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY E WEBER NP

Provider Business Mailing Address
First Line	:	PO BOX 110429
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80042-0429
Country	:	US
Telephone Number	:	303-493-7000
Fax Number	:

Provider Business Practice Location Address
First Line	:	605 BANNOCK ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80204-4505
Country	:	US
Telephone Number	:	303-602-3540
Fax Number	:

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

Provider Enumeration Date	:	03/07/2007
Last Update Date	:	03/17/2021

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Directions to “ AMY E WEBER NP” Practice Location

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