Individual
MRS. HEATHER WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6860 S YOSEMITE CT STE 2000, CENTENNIAL, CO 80112-1448
(720) 387-8131
(720) 387-8132
Mailing address
6860 S YOSEMITE CT STE 2000, CENTENNIAL, CO 80112-1448
(720) 387-8131
(720) 387-8132
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
48404
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48404
NURSING
CO
Enumeration date
10/10/2018
Last updated
10/10/2018
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