Individual
COLETTE WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
106 W NORTH ST, CORTEZ, CO 81321-3119
(970) 565-3056
(970) 565-0647
Mailing address
106 W NORTH ST, CORTEZ, CO 81321-3119
(970) 565-3056
(970) 565-0647
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1627409
CO
Other
Enumeration date
12/11/2014
Last updated
12/11/2014
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