Individual
COLLEEN MARIE WALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
10065 E HARVARD AVE, SUITE 400, DENVER, CO 80231-5968
(303) 614-1400
Mailing address
8063 E 134TH PL, THORNTON, CO 80602-8488
(303) 882-1440
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
182499
CO
Other
Enumeration date
03/15/2011
Last updated
03/15/2011
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