Individual
BETTINA WILLUHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
2750 BROADWAY ST, BOULDER, CO 80304-3573
(303) 440-3102
Mailing address
2750 BROADWAY ST, BOULDER, CO 80304-3573
(303) 440-3102
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1525
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30550238
—
CO
Enumeration date
12/06/2006
Last updated
03/07/2023
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