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Search › Colorado › 171M00000X

Jamie Wagner

NPI 1558274688 · on the registry since 2026

Practice

Address
100 Arapahoe Ave Ste 14
Boulder, CO 80302
Phone
(720) 442-0946
Organisation at this address
Memoru
Prosopon
Mindhelm Llc
Sara Schultz Llc
Lauren Eisele Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
44

Registry record

Primary taxonomy
171M00000X
171M00000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-09-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado