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NPI Code Detail

MEDICARE: EMILY NICOLE WALLBANK

MEDICARE: EMILY NICOLE WALLBANK
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
1104100000XSocial WorkerCO

General Provider Information

NPI Number : 1578412623
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY NICOLE WALLBANK
Provider Business Mailing Address
First Line : 13201 E BETHANY PL
Second Line :
City : AURORA
State : CO
Zip : 80014-3469
Country : US
Telephone Number : 720-980-3303
Fax Number :
Provider Business Practice Location Address
First Line : 420 E 58TH AVE STE 210
Second Line :
City : DENVER
State : CO
Zip : 80216-1400
Country : US
Telephone Number : 720-928-1440
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2026
Last Update Date : 01/22/2026

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Directions to “ EMILY NICOLE WALLBANK ” Practice Location

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