BRIAN WILSON NPI 1124407978

NPI Information

NPI: 1124407978
Provider Name: BRIAN WILSON
Classification: Homemaker - 376J00000X
Entity Type: Individual
Address:
7464 ARAPAHOE RD STE B3
BOULDER, CO
ZIP 80303
Phone: (720) 502-3939
Get Directions

Brian Wilson is a homemaker in Boulder, CO. The provider is an individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards. Brian Wilson NPI is 1124407978. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7464 ARAPAHOE RD STE B3
BOULDER, CO
ZIP 80303-500
Phone: (720) 502-3939
Fax: (720) 502-3933

The enumeration date for this NPI number is 5/27/2015 and was last updated on 5/27/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	374U00000X	Home Health Aide				No
2	376J00000X	Homemaker				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	079733108	OTHER	COLORADO	DUNS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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