Individual
NICOLE KHAZEI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10900 W 44TH AVE UNIT 200, WHEAT RIDGE, CO 80033-2742
(303) 993-1330
Mailing address
10900 W 44TH AVE UNIT 200, WHEAT RIDGE, CO 80033-2742
(303) 993-1330
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
0997879-NP
CO
363LG0600X
Gerontology Nurse Practitioner
0997879-NP
CO
363LP2300X
Primary Care Nurse Practitioner
Primary
0997879-NP
CO
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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