Awaken IV

NPI #1417810631 in Boulder, Colorado

Provider Information

NPI Number
1417810631
Entity Type
Organization
Organization Name
Awaken IV
Primary Specialty
Clinic/Center - Infusion Therapy
Enumeration Date
Dec 4, 2025
Last Updated
Dec 4, 2025

Practice Location

Address
5277 MANHATTAN CIR STE 260
ZIP Code
80303-8201
Phone
(303) 409-3690

Authorized Official

Name
NICHOLAS WINGO
Title
CEO
Phone
(303) 929-0946

Specialties & Taxonomy Codes

Specialty
Clinic/Center
Clinic/Center - Infusion TherapyInfusion Therapy

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