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NPI Code Detail

MEDICARE: MIKAYLA M WACHSMANN MS, CNS

MEDICARE:   MIKAYLA M WACHSMANN  MS, CNS
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
1133NN1002XNutrition Education Nutritionist
2174H00000XHealth Educator
3133N00000XNutritionist

General Provider Information

NPI Number : 1700522760
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIKAYLA M WACHSMANN MS, CNS
Provider Business Mailing Address
First Line : 1925 W 32ND AVE UNIT 304
Second Line :
City : DENVER
State : CO
Zip : 80211-3484
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1925 W 32ND AVE UNIT 304
Second Line :
City : DENVER
State : CO
Zip : 80211-3484
Country : US
Telephone Number : 719-200-7815
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2022
Last Update Date : 06/23/2025

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Directions to “ MIKAYLA M WACHSMANN MS, CNS” Practice Location

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