Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 45662 | CO |
NPI | 1548417157 |
---|---|
Provider Name | Erin Murphy Woessner |
First Address | Arvada, CO 80004-3757 |
Second Address | Arvada, CO 80004-3757 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/08/2008 |
Last Update Date | 11/06/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
45662 | COLORADO LICENSE (01) | CO |
FM0601383 | DEA (01) |