Individual
NICOLE ANNA BRADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
13123 E 16TH AVE, B060, AURORA, CO 80045-7106
(720) 777-4871
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2842
CO
363AM0700X
Medical Physician Assistant
Primary
PA.0002842
CO
Other
Enumeration date
11/25/2009
Last updated
10/23/2018
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