Provider Demographics
NPI:1598221921
Name:WEBER, ERIN J (NP-C)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:J
Last Name:WEBER
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15547 COUNTY ROAD 20.2
Mailing Address - Street 2:
Mailing Address - City:ATWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80722-9723
Mailing Address - Country:US
Mailing Address - Phone:970-520-3087
Mailing Address - Fax:
Practice Address - Street 1:1600 SPECHT POINT RD STE 127
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-4311
Practice Address - Country:US
Practice Address - Phone:970-493-7733
Practice Address - Fax:970-493-8745
Is Sole Proprietor?:No
Enumeration Date:2019-02-11
Last Update Date:2019-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COF02190290363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1134116932OtherNPI