Provider Demographics
NPI:1841029220
Name:OERTER, REBECCA JANE (FNP)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:JANE
Last Name:OERTER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1825 SENDA ROCOSA ST
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80303-9636
Mailing Address - Country:US
Mailing Address - Phone:720-238-2721
Mailing Address - Fax:
Practice Address - Street 1:1825 SENDA ROCOSA ST
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80303-9636
Practice Address - Country:US
Practice Address - Phone:720-238-2721
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-01
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.1000025-NP363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care