Individual
JOSHUA BRYAN WILSON SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4507
(720) 336-3791
Mailing address
7105 BATTLE MOUNTAIN RD, COLORADO SPRINGS, CO 80922-1215
(801) 425-7398
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201609976NP-PP
OR
Other
Enumeration date
12/22/2016
Last updated
09/06/2021
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