Individual
DR. AVIVA D WERTKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ND NATUROPATHIC DOCT
Contact information
Practice address
2581 PARK LN, LAFAYETTE, CO 80026-3172
(303) 775-3198
(303) 872-4259
Mailing address
2581 PARK LN, LAFAYETTE, CO 80026-3172
(203) 640-7319
(303) 872-4259
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
099.0100226
VT
175F00000X
Naturopath
384
CT
175F00000X
Naturopath
ND.0000250
CO
207Q00000X
Family Medicine Physician
099.0100226
VT
208D00000X
General Practice Physician
Primary
NP624
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110000384CT01
ANTHEM BLUE CROSS
—
01
—
11805577
CAQH NUMBER
—
Enumeration date
04/17/2008
Last updated
04/04/2024
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