Provider Demographics
NPI:1861808750
Name:RENDLER, JAMIE KATHRYN (FNP-C WOCN-AP)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:KATHRYN
Last Name:RENDLER
Suffix:
Gender:F
Credentials:FNP-C WOCN-AP
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:KATHRYN
Other - Last Name:PETERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:401 MICHIGAN ST
Mailing Address - Street 2:
Mailing Address - City:PUEBLO
Mailing Address - State:CO
Mailing Address - Zip Code:81004-2138
Mailing Address - Country:US
Mailing Address - Phone:719-766-9360
Mailing Address - Fax:
Practice Address - Street 1:401 MICHIGAN ST
Practice Address - Street 2:
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81004-2138
Practice Address - Country:US
Practice Address - Phone:719-766-9360
Practice Address - Fax:719-888-1893
Is Sole Proprietor?:No
Enumeration Date:2014-07-11
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0991270-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily