Individual
TERESA A WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN BC
Contact information
Practice address
777 BANNOCK ST, MC 1914, DENVER, CO 80204-4507
(303) 436-6000
(303) 602-3900
Mailing address
777 BANNOCK ST, MC 0960, DENVER, CO 80204-4507
(303) 602-3892
(303) 602-3900
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
77254
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09380051
—
CO
Enumeration date
06/13/2005
Last updated
09/03/2014
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