MS. THERESA FEDAK FNP-BC
NPI 1205836848
Nurse Practitioner - Family in Boulder, CO

Active since July 26, 2005
3145 20TH ST, BOULDER, CO 80304(303) 447-8189 Get Directions Write a Review

NPPES record last updated: January 6, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Nurse Practitioner
  • Family

About THERESA FEDAK

This page provides the complete NPI Profile along with additional information for Theresa Fedak, a provider established in Boulder, Colorado with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1205836848 assigned on July 2005. The practitioner's primary taxonomy code is 363LF0000X with license number 86240 (CO). The provider is registered as an individual and her NPI record was last updated 11 years ago.

NPI
1205836848 Verify this NPI
Provider Name
MS. THERESA FEDAK FNP-BC
Gender
Female
Entity Type
Individual
Location Address
3145 20TH ST BOULDER, CO 80304
Location Phone
(303) 447-8189
Mailing Address
3145 20TH ST BOULDER, CO 80304
Mailing Phone
(303) 447-8189
Is Sole Proprietor?
Yes
Enumeration Date
07-26-2005
Last Update Date
01-06-2016
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A nurse practitioner (NP) like Theresa Fedak is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
86240
License State
CO

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205836848, enumerated as an "individual" on July 26, 2005.

The provider is located at 3145 20TH ST BOULDER, CO 80304 and the phone number is (303) 447-8189.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.