Individual
WHITTNEY WACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS-MCT, RN, BSN
Contact information
Practice address
PO BOX 1091, ENGLEWOOD, CO 80150-1091
(303) 981-0514
Mailing address
PO BOX 1091, ENGLEWOOD, CO 80150-1091
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN1645492
CO
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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