STACEY COLLEEN WYNNE-URBANOWICZ


Address: 11293 E Ida Pl, Englewood, CO 80111-4102
Phone: 7204061164

STACEY COLLEEN WYNNE-URBANOWICZ (NPI# 1578096665) 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) 1578096665
Entity Type Individual
Full Name STACEY COLLEEN WYNNE-URBANOWICZ
Credential NP-C
Practice Address 11293 E Ida Pl
Englewood
CO 80111-4102
Practice Telephone 7204061164
Mailing Telephone 7204061164
Enumeration Date 2017-04-06
Last Update Date 2017-04-06
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
APN.0993022-NP CO Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 11293 E IDA PL
City ENGLEWOOD
State CO
Zip Code 80111-4102

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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558688978 Gabrielle Faith Schwartzbard Nurse Practitioner 9 Cliff Dr, Englewood, NJ 07631-5056 2010-04-24
1225635238 Jessica Irene Hernandez Nurse Practitioner 3601 S Clarkson St Ste 520, Englewood, CO 80113-3949 2020-10-02
1093339848 Zohra Moshref Nurse Practitioner 140 Grand Ave, Englewood, NJ 07631-6581 2020-06-07
1730582800 Marcelo Marin Nurse Practitioner 148 Engle St, Englewood, NJ 07631-2581 2014-10-03
1114982162 Kathleen M Mickey Nurse Practitioner 601 E Hampden Ave, # 430, Englewood, CO 80113-3781 2006-04-20

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Competitor

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City ENGLEWOOD
Zip Code 80111

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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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