Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | 36269 | CO |
NPI | 1033271754 |
---|---|
Provider Name | Dr. Catherine Willner |
First Address | Durango, CO 81301-4953 |
Second Address | Durango, CO 81301-7728 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/12/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E62060 | (02) | CO |