Provider Demographics
NPI:1598171829
Name:WEED, BARBARA JOELLEN (APN)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:JOELLEN
Last Name:WEED
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:409 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LAMAR
Mailing Address - State:CO
Mailing Address - Zip Code:81052-3222
Mailing Address - Country:US
Mailing Address - Phone:303-587-2889
Mailing Address - Fax:719-691-7313
Practice Address - Street 1:409 S MAIN ST
Practice Address - Street 2:
Practice Address - City:LAMAR
Practice Address - State:CO
Practice Address - Zip Code:81052-3222
Practice Address - Country:US
Practice Address - Phone:303-587-2889
Practice Address - Fax:719-691-7313
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-08
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0992712-NP363LP2300X, 363LG0600X, 363LA2200X, 363LA2100X
CO181627163W00000X
COAPN.0992712363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO9000154837Medicaid