Individual
DR. TANYA G. NICHOLSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1250 E MAGNOLIA ST, LOCATED IN WAL-MART, FT COLLINS, CO 80524-2754
(970) 224-0606
(970) 493-9309
Mailing address
396 N SNOWMASS CIR, SUPERIOR, CO 80027-6124
(303) 818-1852
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2094
CO
Other
Enumeration date
03/30/2006
Last updated
07/08/2007
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