Individual provider · Type 1 NPI
Sean Wallis, NP
Nurse Practitioner · Boulder, CO
Practice location
4747 Arapahoe Ave
Boulder, CO 80303-1131
Mailing address
8769 W Cornell Ave Apt 3
Lakewood, CO 80227-4820
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | APN.0995133-NP (CO) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1356980205
Sean Wallis, NP's National Provider Identifier is 1356980205, issued on Dec 24, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Boulder, CO. The record was last updated on Dec 19, 2023.