Provider Demographics
NPI:1417285156
Name:WOLFGRAM, MARGARET ALLEN (NP)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:ALLEN
Last Name:WOLFGRAM
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:MARGARET
Other - Middle Name:MCCARTHY
Other - Last Name:ALLEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:2975 ROSLYN ST UNIT 100
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80238-3326
Mailing Address - Country:US
Mailing Address - Phone:303-799-3900
Mailing Address - Fax:
Practice Address - Street 1:2975 ROSLYN ST UNIT 100
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80238-3326
Practice Address - Country:US
Practice Address - Phone:303-799-7900
Practice Address - Fax:303-399-7988
Is Sole Proprietor?:No
Enumeration Date:2009-11-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704292084363L00000X
CA18756363L00000X
MARN276453363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner