Organization
4 CORNERS CHILDREN'S CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JESSICA RENSNER NP (CPNP)
(970) 335-9678
Entity
Organization
Contact information
Practice address
555 RIVERGATE STE B1-109, DURANGO, CO 81301-7473
(970) 335-9678
Mailing address
555 RIVERGATE STE B1-109, DURANGO, CO 81301-7473
(970) 335-9678
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/22/2020
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up