Individual
COLLEEN KATHERINE WUELLNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6169 S. BALSAM WAY, STE #220, LITTLETON, CO 80123
(303) 963-0566
(303) 972-1293
Mailing address
1707 COLE BLVD., STE #100, GOLDEN, CO 80401
(303) 716-8018
(303) 763-5495
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3437
CO
363A00000X
Physician Assistant
572
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
810542541
COMMERCIAL
—
Enumeration date
06/22/2009
Last updated
10/09/2022
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