Theresa Amelia Balet, FNP
Individual provider Active NPI Family Nurse Practitioner · Montrose, CO
NPI 1831270438 · NPPES record last updated Apr 11, 2016
Key facts
- NPI
- 1831270438
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 66777 (CO)
- Practice address
- 1845 S Townsend Ave
Montrose, CO 81401-5448 - Phone
- (970) 252-5015
- Fax
- (970) 964-2499
- NPI assigned
- Oct 18, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66777 | CO | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 66777 | CO | Yes |
Addresses
Primary practice location
1845 S Townsend Ave
Montrose, CO 81401-5448
Mailing address
1845 S Townsend Ave
Montrose, CO 81401-5448
Phone (970) 252-5015
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02130751 | Medicaid | CO | |
| M0090407 | Other | ELECTRONIC PROVIDER NUMBE | |
| 363L00000X | Other | SPECIALTY CODE |
Other providers in Montrose, CO
- Leslie Ann Baeder
- Joshua Jensen Bagley
- Teresa M Bailey
- Lisa Carol Baker
- Bridgit Elizabeth Baldus
- Erica A Balkcum
- Jessica L Banjany
- Deborah Barber
- William J. Barminski
- Kelly E Bartashius
All providers in Montrose, CO · Family Nurse Practitioner in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.