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Individual

MIEKA WENNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
11600 W 2ND PL, LAKEWOOD, CO 80228-1527
(303) 783-4907
Mailing address
14 S HOLMAN WAY APT 4E, GOLDEN, CO 80401-5162

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.1643911
CO
367500000X
Certified Registered Nurse Anesthetist
Primary
APN.0997200-CRNA
CO

Other

Enumeration date
11/17/2021
Last updated
01/02/2025
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