Individual
BONNIE A WILENSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.S.
Contact information
Practice address
1000 W SOUTH BOULDER RD STE 110, LAFAYETTE, CO 80026-2753
(303) 415-4355
(303) 666-1982
Mailing address
5450 WESTERN AVE, BOULDER, CO 80301-2709
(303) 415-4355
(303) 666-1982
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
APN.0004455-CNS
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
66980364
—
CO
Enumeration date
11/23/2005
Last updated
07/21/2022
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