Individual
DR. AMY CAROL REIDHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC, FNP-C, BSN-RN
Contact information
Practice address
2355 CANYON BLVD STE 102, BOULDER, CO 80302-5652
(303) 390-1245
(303) 390-1245
Mailing address
2355 CANYON BLVD STE 102, BOULDER, CO 80302-5652
(303) 390-1245
(303) 390-1245
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
4468
CO
163W00000X
Registered Nurse
0202308
CO
363LF0000X
Family Nurse Practitioner
Primary
0202308
CO
Other
Enumeration date
04/01/2018
Last updated
03/25/2019
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