Individual provider · Type 1 NPI
Theresa Fedak, FNP-BC
Family Nurse Practitioner · Boulder, CO
NPI number
1205836848
Active
Practice location
3145 20th St
Boulder, CO 80304-2700
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 86240 (CO) |
Family Nurse Practitioner: Definition to come...
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About NPI 1205836848
Theresa Fedak, FNP-BC's National Provider Identifier is 1205836848, issued on Jul 26, 2005. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Boulder, CO. The record was last updated on Jan 6, 2016.