Fedak, Theresa

Fedak, Theresa is an sole proprietor health care provider with primary practice located at 3145 20Th St , Boulder CO 80304-2700. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fedak, Theresa can be contacted via phone (303) 447-8189.

Contact Information

Primary practice address
3145 20Th St Boulder CO 80304-2700
Phone: (303) 447-8189
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 86240 Colorado

Profile Details

NPI number 1205836848
LBN Legal business name Fedak, Theresa
Credentials FNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2005
Last updated Jan 6th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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