Provider Demographics
NPI:1508592163
Name:WILCOX, MEGAN ELIZABETH (FNP-C)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:ELIZABETH
Last Name:WILCOX
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10462 W 9TH AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80215-5618
Mailing Address - Country:US
Mailing Address - Phone:303-358-2660
Mailing Address - Fax:
Practice Address - Street 1:2555 E 13TH ST STE 110
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80537-5134
Practice Address - Country:US
Practice Address - Phone:970-820-4264
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-26
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0997823-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
COAPN.0997823-NPOtherCOLORADO DEPARTMENT OF REGULATORY AGENCIES
CORXN.0108623-NPOtherCOLORADO DEPARTMENT OF REGULATORY AGENCIES