Individual
MRS. MARY E WILTERDINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
701 E HAMPDEN AVE STE 110, #465, ENGLEWOOD, CO 80113-2736
(303) 788-8808
(303) 788-6656
Mailing address
4900 S MONACO ST, SUITE 210, DENVER, CO 80237-3486
(303) 788-8808
(303) 788-6656
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
1784
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07962236
—
CO
05
—
93026781
—
NM
Enumeration date
10/13/2005
Last updated
10/22/2019
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