Healthcare Provider Details

I. General information

NPI: 1598953481
Provider Name (Legal Business Name): WILBERT TROPIA ORDANZA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2007
Last Update Date: 08/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5945 S WALDEN CT
AURORA CO
80016-1187
US

IV. Provider business mailing address

5945 S WALDEN CT
AURORA CO
80016-1187
US

V. Phone/Fax

Practice location:
  • Phone: 303-317-4445
  • Fax:
Mailing address:
  • Phone: 303-317-4445
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number122677
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: