Individual
CHAD WANNAMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1312 17TH ST UNIT 2611, DENVER, CO 80202-1508
(804) 814-2725
Mailing address
1312 17TH ST UNIT 2611, DENVER, CO 80202-1508
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001275867
VA
163WC0200X
Critical Care Medicine Registered Nurse
Primary
0001275867
VA
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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