Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LW0102X | Nurse Practitioner - Women's Health | 0990331 | CO |
N | 363LW0102X | Nurse Practitioner - Women's Health | 143256 | TX |
Y | 363LW0102X | Nurse Practitioner - Women's Health | APN.0990331-NP | CO |
NPI | 1023389939 |
---|---|
Provider Name | Cynthia Wren |
First Address | Parker, CO 80134-3704 |
Second Address | Lone Tree, CO 80124-5534 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2012 |
Last Update Date | 01/02/2022 |