Individual provider · Type 1 NPI

Trevor Wicken

Specialist · Fort Collins, CO

NPI number 1417078429 Active

Practice location

5131 S College Ave Unit B
Fort Collins, CO 80525-3968

Call (970) 266-0003 Map

Fax (970) 266-8077

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1417078429

Trevor Wicken's National Provider Identifier is 1417078429, issued on Apr 3, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fort Collins, CO. The record was last updated on Jul 8, 2007.