Wilterdink, Mary E

Wilterdink, Mary E is an individual health care provider with primary practice located at 701 E Hampden Ave Ste 110 #465, Englewood CO 80113-2736. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Wilterdink, Mary E can be contacted via phone (303) 788-8808.

Contact Information

Primary practice address
701 E Hampden Ave Ste 110 #465 Englewood CO 80113-2736
Phone: (303) 788-8808
Fax: (303) 788-6656
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 1784 Colorado

Profile Details

NPI number 1801884747
LBN Legal business name Wilterdink, Mary E
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Oct 22nd, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801884747 NPPES
Colorado MEDICAID 07962236
Colorado MEDICAID 93026781

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