Most Relevant Information
Provider Data
| NPI Number: | 1003240771 |
| Provider Name: | CASEY MARIE WELLER |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | A119948 |
Most Important Dates
| Enumeration Date: | 08/29/2013 |
| Last Updated: | 07/01/2021 |
Provider Practice Location
1024 S LEMAY AVE
FORT COLLINS
CO
805243929
Practice Location Phone/Fax
| Phone: | 9704957000 |
| Fax: | 3033067753 |
Provider Mailing Location
PO BOX 912215
DENVER
CO
802912215
Provider Mailing Phone/Fax
| Phone: | 3033067783 |
| Fax: | 3033067753 |