Individual
MADELINE LOUISE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
2020 WADSWORTH BLVD, SUITE 16, LAKEWOOD, CO 80214-5728
(303) 233-8701
(303) 233-2850
Mailing address
2020 WADSWORTH BLVD, SUITE 16, LAKEWOOD, CO 80214-5728
(303) 233-8701
(303) 233-2850
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
NP-71
CO
Other
Enumeration date
01/19/2011
Last updated
01/19/2011
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