Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. THERESA FEDAK, FNP-BC
Active Sole ProprietorFamily Nurse Practitioner · BOULDER, CO
Registration Details
- NPI Number
- 1205836848
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 26, 2005 (20.736452122176 yrs)
- Last Updated
- Jan 6, 2016
- License
-
86240 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3145 20TH STBOULDER, CO, 803042700Browse CO providers · Browse ZIP 80304
- Phone
- 3034478189
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Other Family Nurse Practitioner Providers in BOULDER, CO
| Name | Credential | NPI |
|---|---|---|
| ERIN KATHLEEN ATKINSON | ARNP | 1730170689 |
| ALICIA E MALTZMAN | N.P. | 1710960380 |
| ALLISON MARY GALLOWAY | FNP-C | 1174559835 |
| MRS. CARRIE LEE BALLAS | FNP-C | 1588773485 |
| MR. JONATHAN PAUL NIENHOUSE | FNP | 1841388402 |
| CARLA A KEAHEY | ACNS, FNP | 1750442323 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.