Karen Evonne Wilson in Pueblo - Nutrition, Pediatric

Karen Evonne Wilson - NPI 1225175516

Karen Evonne Wilson is a Nutrition, Pediatric in Pueblo, Colorado. Karen Evonne Wilson practices all healthcare services and medical treatments related to Nutrition, Pediatric. The NPI Number for Karen Evonne Wilson is 1225175516. The last update date is 2015-06-18.

Karen Evonne Wilson's current location address is 110 E. Routt Avenue, Pueblo, Colorado. You can contact this provider via phone number 7195438711. The mailing address for Karen Evonne Wilson is 110 E. Routt Avenue, Pueblo, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name Karen Evonne Wilson
Address 110 E. Routt Avenue, Pueblo, Colorado
Phone Number 7195438711
Fax Number
Sole Proprietor N
Credentials M.S., R.D.

NPI Number Detail

NPI Number 1225175516
Provider Enumeration Date 2007-01-30
Last Updated Date 2015-06-18

Provider Mailing Address Detail

Address 110 E. Routt Avenue
City Pueblo
State Colorado (CO)
Post Code 81004
Phone Number 7195438711
Fax Number

Provider's Primary Taxonomy Detail

Speciality Nutrition, Pediatric
Taxonomy 133Vn1004X
Definition:
An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn

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FAQs about Karen Evonne Wilson

What is the unique 10-digit identifier code assigned to Karen Evonne Wilson by the Centers for Medicare & Medicaid Services?

The Karen Evonne Wilson has been issued the NPI (National Provider Identifier) 1225175516 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Karen Evonne Wilson's facilities are situated?

The facilities of Karen Evonne Wilson are physically located at the following address: 110 E. Routt Avenue, Pueblo, CO, 81004.

What is Karen Evonne Wilson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Karen Evonne Wilson's specialized field of practice is Nutrition, Pediatric, and the corresponding taxonomy code that categorizes this area of specialization is 133Vn1004X.

When did Karen Evonne Wilson receive its 1225175516 assignment?

The Karen Evonne Wilson was assigned its 1225175516 on 2007-01-30, which is the date when this unique identifier was issued to the organization.

As of what date were the Karen Evonne Wilson's details last updated?

The information pertaining to the Karen Evonne Wilson, including its address, specialty, and other details, was most recently updated on 2015-06-18.

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