Provider Demographics
NPI:1679914626
Name:WIMETT, LYNN CATHY (APRN)
Entity Type:Individual
Prefix:DR
First Name:LYNN
Middle Name:CATHY
Last Name:WIMETT
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3333 REGIS BLVD
Mailing Address - Street 2:MAIL CODE G-8
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80221-1154
Mailing Address - Country:US
Mailing Address - Phone:303-458-4063
Mailing Address - Fax:303-964-5325
Practice Address - Street 1:3333 REGIS BLVD
Practice Address - Street 2:MAIL CODE G-8
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80221-1154
Practice Address - Country:US
Practice Address - Phone:303-458-4063
Practice Address - Fax:303-964-5325
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-07
Last Update Date:2013-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO97784363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health