Individual
KAYLA WYSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, RNFA
Contact information
Practice address
515 EASY ST, GLENWOOD SPRINGS, CO 81601-4335
(325) 212-7330
Mailing address
1906 BLAKE AVE, GLENWOOD SPRINGS, CO 81601-4259
(325) 212-7330
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
939125
TX
Other
Enumeration date
12/08/2023
Last updated
12/08/2023
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