Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

4 Corners Children's Clinic

Organization Pediatric Nurse Practitioner · NPI 1144832981

4 Corners Children's Clinic is a Pediatric Nurse Practitioner in Durango, Colorado. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

555 Rivergate Ste B1-109
Durango, CO 81301-7473
Phone: (970) 335-9678
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X

Record details

NPI number1144832981
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessica Rensner — Cpnp · (970) 335-9678
NPI enumeratedAugust 22, 2020
Last updated in NPPESAugust 22, 2020
Certification dateAugust 22, 2020
Mailing address555 Rivergate Ste B1-109, Durango, CO 81301-7473

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