Individual provider · Type 1 NPI
Amy Carol Reidhead, DC, FNP-C, BSN-RN
Family Nurse Practitioner · Boulder, CO
NPI number
1629574512
Active
Practice location
2355 Canyon Blvd Ste 102
Boulder, CO 80302-5652
Fax (303) 390-1245
Other practice locations
- 4840 Riverbend Rd Ste 100, Boulder, CO 80301-2633 · (303) 449-3777
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor | 111N00000X | 4468 (CO) |
| Registered Nurse | 163W00000X | 0202308 (CO) |
| Family Nurse Practitioner Primary | 363LF0000X | 0202308 (CO) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1629574512
Amy Carol Reidhead, DC, FNP-C, BSN-RN's National Provider Identifier is 1629574512, issued on Apr 1, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Boulder, CO. The record was last updated on Mar 25, 2019.