Individual
ALENNA LOUISE NILSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA OF TEACHING
Contact information
Practice address
2500 ARAPAHOE AVE STE 230, BOULDER, CO 80302-6752
(720) 432-4326
Mailing address
2500 ARAPAHOE ST STE 230, DENVER, CO 80205-2616
(970) 452-1300
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
363AM0700X
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8255
EDUCATIONAL ID #
OR
Enumeration date
10/22/2021
Last updated
10/22/2021
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