Provider Demographics
NPI:1548417157
Name:WOESSNER, ERIN MURPHY (DO)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:MURPHY
Last Name:WOESSNER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5976 FLORA WAY
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80004-3757
Mailing Address - Country:US
Mailing Address - Phone:720-644-6312
Mailing Address - Fax:
Practice Address - Street 1:5976 FLORA WAY
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80004-3757
Practice Address - Country:US
Practice Address - Phone:720-644-6312
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-26
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO45662204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO45662OtherCOLORADO LICENSE
CO45662OtherCOLORADO LICENSE