DR. Tanya G. Nicholson, O.D.

NPI #1003877937 in Ft Collins, Colorado

Provider Information

NPI Number: 1003877937
Entity Type: Individual
Name: DR. Tanya G. Nicholson, O.D.
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Mar 30, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1250 E MAGNOLIA ST
Address 2: LOCATED IN WAL-MART
City: Ft Collins
State: Colorado
ZIP Code: 80524-2754
Phone: (970) 224-0606

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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