Individual
DR. MARY THERESE WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC, PHD
Contact information
Practice address
8801 LIPAN ST, THORNTON, CO 80260-4912
(303) 720-9085
(303) 657-3227
Mailing address
13120 EAST 19TH AVE, MAIL STOP C288-18, UNIVERSITY OF COLORADO COLLEGE OF NURSING, AURORA, CO 80045
(303) 724-2949
(303) 724-8560
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
182710
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
655931
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1551277-01
—
TX
01
—
8N3334
BCBS
TX
Enumeration date
08/02/2006
Last updated
11/16/2010
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