Individual
NICOLE MARIE WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
7155 E 38TH AVE, DENVER, CO 80207-1630
(505) 944-2021
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
71012411A
IN
367A00000X
Advanced Practice Midwife
C-APN.0103183-C-CN
CO
367A00000X
Advanced Practice Midwife
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000240929
—
CO
Enumeration date
03/09/2022
Last updated
03/17/2025
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