Individual
MICHAELA JOY WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17589 E CRESTRIDGE AVE, CENTENNIAL, CO 80015-2516
(303) 927-7146
Mailing address
17589 E CRESTRIDGE AVE, CENTENNIAL, CO 80015-2516
(303) 927-7146
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
182190
CO
Other
Enumeration date
12/10/2007
Last updated
12/10/2007
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