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NPI Code Detail

MEDICARE: TERESA A WILCOX APRN BC

MEDICARE: TERESA A WILCOX APRN BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse Practitioner77254CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316941735
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERESA A WILCOX APRN BC
Provider Business Mailing Address
First Line : 777 BANNOCK ST
Second Line : MC 0960
City : DENVER
State : CO
Zip : 80204-4507
Country : US
Telephone Number : 303-602-3892
Fax Number : 303-602-3900
Provider Business Practice Location Address
First Line : 777 BANNOCK ST
Second Line : MC 1914
City : DENVER
State : CO
Zip : 80204-4507
Country : US
Telephone Number : 303-436-6000
Fax Number : 303-602-3900
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2005
Last Update Date : 09/03/2014

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Directions to “ TERESA A WILCOX APRN BC” Practice Location

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