Individual
AMY D WRENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
176577
CO
363LP0200X
Pediatric Nurse Practitioner
Primary
176577
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19970
KAISER COMMERCIAL NUMBER
CO
05
—
89752571
—
CO
Enumeration date
05/23/2007
Last updated
07/22/2024
Update your record
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