Individual
JENNIFER LYNN WEITENBERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2555 E 13TH ST STE 220, LOVELAND, CO 80537-5136
(970) 669-5432
Mailing address
3702 S TIMBERLINE RD STE A, FORT COLLINS, CO 80525-3625
(970) 207-9773
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
48117
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
48487821
—
CO
Enumeration date
05/02/2007
Last updated
12/13/2024
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