Individual
MRS. NICOLE ANN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MS, WHCNP
Contact information
Practice address
9397 CROWN CREST BLVD, STE 320, PARKER, CO 80138-8575
(303) 766-0197
(303) 766-0187
Mailing address
15565 E 101ST AVE, COMMERCE CITY, CO 80022-9542
(303) 287-6200
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
124466
CO
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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