WENDY A BULOW


Address: 110 E Routt, Pueblo, CO 81004
Phone: 7195438711

WENDY A BULOW (NPI# 1376579540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376579540
Entity Type Individual
Full Name WENDY A BULOW
Credential PA
Practice Address 110 E Routt
Pueblo
CO 81004
Mailing Address 310 Colorado Ave
Pueblo
CO 81004
Practice Telephone 7195438711
Practice Fax Number 7195435340
Mailing Telephone 7195438718
Mailing Fax Number 7195435340
Enumeration Date 2006-06-23
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 1675 CO Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CO 85478075 05

Office Location

Street Address 110 E ROUTT
City PUEBLO
State CO
Zip Code 81004

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710957923 Paul Michael Smith Specialist 110 E Routt, Pueblo, CO 81001 2006-01-23
1437300498 Jesse Michael Steffl Physician Assistant 110 E Routt, Pueblo, CO 81004 2008-10-08
1427211168 Brandy Amber Statezny Registered Nurse 110 E Routt, Pueblo, CA 91004 2008-07-02
1235337387 Patricia Ann Montgomery Registered Nurse 110 E Routt, Pueblo, CO 81004 2007-07-10
1225106172 Mary Adele Walter Registered Nurse 110 E Routt, Pueblo, CO 81004 2006-11-30
1003984956 Sherlyn Kay Richert Registered Nurse 110 E Routt, Pueblo, CO 81004 2006-11-30
1881762748 Larry Wayne Lewis Registered Nurse 110 E Routt, Pueblo, CO 81004 2006-11-30
1053489914 Georgia Lee Gardner Registered Nurse 110 E Routt, Pueblo, CO 81004 2006-11-30
1679641526 Eva Lorraine White Registered Nurse 110 E Routt, Pueblo, CO 81004 2006-11-30
1013085968 Brenda Anne Oliver Registered Nurse 110 E Routt, Pueblo, CO 81004 2006-11-30
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780155929 Renee C Lane Nurse Practitioner 1925 E. Orman Ave. Ste. A109, Pueblo, CO 81004 2018-12-16
1215406913 Kaiser Foundation Healthplan of Colorado Pharmacy 2625 W. Pueblo Blvd, Pueblo, CO 81004 2018-11-26
1053895532 Rebecka Ann Reatherford Nurse Practitioner St Mary-corwin Medical Center, 1008 Minnequa Ave, Pueblo, CO 81004 2018-09-20
1124510821 Angela M Sillas-green Counselor 327 Colorado Ave., Pueblo, CO 81004 2018-05-30
1558898569 Alexandra R B King Family Medicine Southern Colorado Family Medicine, 902 Lakeview Avenue, Pueblo, CO 81004 2017-05-22
1578098752 James Williams Counselor 414 Broadway Ave, Pueblo, CO 81004 2017-04-26
1740732601 Valerie A Senger Counselor 635 W Corona Ave Ste 214, Pueblo, CO 81004 2016-10-26
1194111500 A New Leaf Therapy, Pllc Community/Behavioral Health 327 Colorado Ave, Pueblo, CO 81004 2015-04-13
1619371671 Mariah Mcginnis Registered Nurse 1232 Van Buren St., Pueblo, CO 81004 2014-10-20
1730593112 Maritza Martinez Registered Nurse 1026 Wabriendo Ave, Pueblo, CO 81004 2014-06-13
Find all providers in zip 81004

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114527652 Li Ashley Lim Physician Assistant 132 W B St Apt 3k, Pueblo, CO 81003-3446 2020-10-26
1104366178 Alfe Garperio Physician Assistant 2625 W Pueblo Blvd, Pueblo, CO 81004-3816 2017-02-24
1871895995 A Theodore Smith Physician Assistant 1600 West 24th Street, Colorado Mental Health Institute At Pueblo, Pueblo, CO 81003 2010-11-22
1689793812 Paul Whitney Safford Physician Assistant 600 West 16th St, Pueblo, CO 81003 2007-03-28
1740347996 Jose Luis Ramirez Physician Assistant 45825 Highway 96 East, Pueblo, CO 81006 2007-01-03
1932217635 Juliana Schrettner Physician Assistant 1600 N Greenwood, 520, Pueblo, CO 81003 2006-08-25
1427046077 James L Kramer Physician Assistant 1008 Minnegua Ave, Emergency Room, Pueblo, CO 81004 2005-10-07
1306846381 Lucas R Derting Physician Assistant 1600 North Grand Avenue, Suite 500, Pueblo, CO 81003-2757 2005-07-29
1922001700 Stephen D Bast Physician Assistant 3676 Parker Blvd, Pueblo, CO 81008-2212 2005-05-24
1245863257 Anna Elizabeth Inserra Physician Assistant 1315 Fortino Blvd, Pueblo, CO 81008-1981 2020-02-18
Find all providers in PUEBLO

Competitor

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City PUEBLO
Zip Code 81004

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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