Individual
MRS. MIKKALA SHAE VOSMERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
8300 W 38TH AVE, WHEAT RIDGE, CO 80033-6005
(303) 517-4593
Mailing address
8300 W 38TH AVE, WHEAT RIDGE, CO 80033-6005
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN.0995575-NP
CO
Other
Enumeration date
07/31/2020
Last updated
11/27/2023
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