Provider Demographics
NPI:1396217329
Name:WILKINS, MONICA GEZEIEL
Entity type:Individual
Prefix:MS
First Name:MONICA
Middle Name:GEZEIEL
Last Name:WILKINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3353 N JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80205-3831
Mailing Address - Country:US
Mailing Address - Phone:720-416-0055
Mailing Address - Fax:
Practice Address - Street 1:3353 N JACKSON ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205-3831
Practice Address - Country:US
Practice Address - Phone:720-416-0055
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-02
Last Update Date:2019-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health