Individual
JENNIFER A WITTENAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
205 E 6TH ST, LOVELAND, CO 80537-5681
(970) 679-4485
Mailing address
3364 LAREDO LN, FORT COLLINS, CO 80526-4234
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
126248
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
57250880
—
CO
Enumeration date
06/06/2007
Last updated
07/08/2007
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