Provider Demographics
NPI:1841843547
Name:ANASTASIA, TREANNA IRIS (APN, WHNP, RN)
Entity type:Individual
Prefix:
First Name:TREANNA
Middle Name:IRIS
Last Name:ANASTASIA
Suffix:
Gender:
Credentials:APN, WHNP, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4562 DENROSE CT STE 4
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80524-8364
Mailing Address - Country:US
Mailing Address - Phone:970-231-2373
Mailing Address - Fax:
Practice Address - Street 1:4562 DENROSE CT STE 4
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80524-8364
Practice Address - Country:US
Practice Address - Phone:970-231-2373
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-22
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO174H00000X, 374J00000X
CORXN.0109708-NP363LW0102X
CORN.1671958364SW0102X
COAPN.1000750-NP363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No174H00000XOther Service ProvidersHealth Educator
No364SW0102XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistWomen's Health
No374J00000XNursing Service Related ProvidersDoula