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Individual
DR. TRACI L NIVENS
Active
Individual
DR. TRACI L NIVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
K7424
TX
207V00000X
Obstetrics & Gynecology Physician
DR 0053022
CO
208M00000X
Hospitalist Physician
Primary
DR.0053022
CO
Other
Enumeration date
06/25/2006
Last updated
11/17/2018
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