Provider Demographics
NPI:1851461776
Name:BELTZ, JANET MARIE (FNP-C)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:MARIE
Last Name:BELTZ
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 16TH ST
Mailing Address - Street 2:WOUND CARE CENTER AREA 3 C
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80631-5154
Mailing Address - Country:US
Mailing Address - Phone:970-350-6075
Mailing Address - Fax:970-350-6072
Practice Address - Street 1:1801 16TH ST
Practice Address - Street 2:WOUND CARE CENTER AREA 3 C
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80631-5154
Practice Address - Country:US
Practice Address - Phone:970-350-6075
Practice Address - Fax:970-350-6072
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2011-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO56807363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO88786510Medicaid
COC807680Medicare PIN
COCO304650Medicare PIN