MRS. Nanci Jane Nicholas

NPI #1710990510 in Cedaredge, Colorado

Provider Information

NPI Number: 1710990510
Entity Type: Individual
Name: MRS. Nanci Jane Nicholas
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Aug 14, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 16798 PRIMROSE LN
City: Cedaredge
State: Colorado
ZIP Code: 81413-8268
Phone: (970) 856-4874

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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