Individual
ANDREA L WIEGAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2550 S PARKER RD, AURORA, CO 80014-1622
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
160487
CO
367A00000X
Advanced Practice Midwife
Primary
APN.0003408-CNM
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021206
KAISER COMMERCIAL NUMBER
CO
05
—
56658028
—
CO
Enumeration date
04/21/2010
Last updated
06/22/2021
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