Individual
DANIEL WILBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2121 I ST NW # 405, WASHINGTON, DC 20052-0086
(202) 908-8594
Mailing address
1040 NEWTON ST NE APT 1, WASHINGTON, DC 20017-1713
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0102482-C-NP
CO
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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