Individual
STACEY COLLEEN WYNNE-URBANOWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
11293 E IDA PL, ENGLEWOOD, CO 80111-4102
(720) 406-1164
Mailing address
50 S B B KING BLVD # 100, MEMPHIS, TN 38103-2626
(901) 436-1381
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
APN.0993022-NP
CO
Other
Enumeration date
04/06/2017
Last updated
07/07/2022
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