Amanda C Fadenrecht


Address: 141 S Purcell Blvd, Suite 140, Pueblo West, CO 81007-5123

Amanda C Fadenrecht (NPI# 1023425386, PAC ID# 9739309568) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1023425386
PAC ID by PECOS 9739309568
Professional Enrollment ID I20140930000996
Full Name Amanda C Fadenrecht
Address 141 S Purcell Blvd
Suite 140
Pueblo West
CO 81007-5123
Gender F
Graduation Year 2014
Primary Specialty NURSE PRACTITIONER
Accepts Medicare Assignment M

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
060020 PARKVIEW MEDICAL CENTER INC
060012 ST MARY CORWIN MED CTR, CENTURA HEALTH

Other Locations

Address Phone Organization
109 S Burlington Dr, Pueblo West, CO 81007-5560 7197669344 HANSON CLINIC PC
141 S Purcell Blvd, Suite 140, Pueblo West, CO 81007-5123

Organization Information

Office Location

Street Address 141 S PURCELL BLVD
SUITE 140
City PUEBLO WEST
State CO
Zip 81007-5123

Physicians in the same zip code

Name Specialty Organization Address
Michael G Peterson Chiropractic 1021 N Market Plaza, Suite 102, Pueblo West, CO 81007-1532
Debra Jean Mccormack Family Practice Catholic Health Initiatives Colorado 729 E Spaulding Ave, Pueblo West, CO 81007-3512
Catherine L Brunetto Chiropractic 121 S Golfwood Dr E, Pueblo West, CO 81007-3695
David A Vik Chiropractic 171 S Purcell Blvd, Pueblo West, CO 81007-5081
Angela E Vik Chiropractic 63 E Spaulding Ave, Suite E114 115, Pueblo West, CO 81007-5416
Christopher Ryan Boone Family Medicine Parkview Ancillary Services Corporation 121 S Crescent Dr, Parkview Family Medicine Pueblo West, Pueblo, CO 81007-5434
Charles A Hanson Orthopedic Surgery Hanson Clinic PC 109 S Burlington Dr, Pueblo West, CO 81007-5560
Mark E Maurer Podiatry Hanson Clinic PC 109 S Burlington Dr, Pueblo West, CO 81007-5560
Erin M Slivka Physical Therapy Hanson Clinic PC 109 S Burlington Dr, Pueblo West, CO 81007-5560
Jorge O Klajnbart Orthopedic Surgery Hanson Clinic PC 109 S Burlington Dr, Pueblo West, CO 81007-5560
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Competitor

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City PUEBLO WEST
Zip Code 81007
Specialty NURSE PRACTITIONER
City + Specialty PUEBLO WEST + NURSE PRACTITIONER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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