Individual
WENDI JOHNSON STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3482 BROADWAY ST, BOULDER, CO 80304-1824
(303) 413-7799
Mailing address
3450 BROADWAY ST, BOULDER, CO 80304-1824
(303) 413-7799
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN.1620108
CO
Other
Enumeration date
07/25/2017
Last updated
07/25/2017
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