Individual
DUANDELYN CLAUDETTE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9399 CROWN CREST BLVD STE 401, PARKER, CO 80138-8540
(720) 712-0306
Mailing address
9399 CROWN CREST BLVD STE 401, PARKER, CO 80138-8540
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0990859
CO
363LF0000X
Family Nurse Practitioner
APN.0990859
CO
363LN0000X
Neonatal Nurse Practitioner
0175186
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN.0990859-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
384572YQ3L
MEDICARE PTAN
CO
01
—
384572YQN9
MEDICARE PTAN
CO
01
—
384572YQPG
MEDICARE PTAN
CO
01
—
588366YQ3L
MEDICARE PIN
CO
05
—
81434281
—
CO
Enumeration date
06/15/2013
Last updated
04/07/2026
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