Individual
ANNELISE WIEBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12605 E 16TH AVE, AURORA, CO 80045-2545
(720) 848-0000
Mailing address
1560 NEWPORT ST, DENVER, CO 80220-1731
(574) 971-0972
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1668811
CO
Other
Enumeration date
06/17/2025
Last updated
06/17/2025
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