Healthcare Provider Details

I. General information

NPI: 1942839154
Provider Name (Legal Business Name): ERIN FRANCES WYLIE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2020
Last Update Date: 11/04/2024
Certification Date: 11/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1960 N OGDEN ST STE 400
DENVER CO
80218-3670
US

IV. Provider business mailing address

1960 N OGDEN ST STE 400
DENVER CO
80218-3670
US

V. Phone/Fax

Practice location:
  • Phone: 303-898-4972
  • Fax:
Mailing address:
  • Phone: 303-898-4972
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberDR.0074097
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberTL.0008292
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: