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Contact Information

RENEW WELLNESS COMPANY, PLLC
3050 BROADWAY ST STE 205
BOULDER, CO80304-3189
 Phone: 303-505-0062
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Integrative Medicine

202D00000X
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Nutritionist

133N00000X
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for RENEW WELLNESS COMPANY PLLC · (Female)

NPI # 1861363368
Status Active
Credentials
Entity Individual
Enumeration date 09/16/2025
Last updated 09/16/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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