Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | 0997212 | CO |
NPI | 1023769882 |
---|---|
Provider Name | Lindsey Rae Wendel |
First Address | Denver, CO 80204-1380 |
Second Address | Thornton, CO 80229-4318 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/01/2022 |
Last Update Date | 13/01/2022 |