Individual
DR. NICOLE M. ANNEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
280 EXEMPLA CIR, LAFAYETTE, CO 80026-3370
(303) 338-4545
Mailing address
2500 S HAVANA ST, AURORA, CO 80014-1618
(303) 338-4545
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0045549
CO
207N00000X
Dermatology Physician
A94628
CA
207ND0101X
MOHS-Micrographic Surgery Physician
A94628
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018208
KAISER COMMERCIAL NUMBER
CO
05
—
77534077
—
CO
Enumeration date
08/01/2006
Last updated
05/06/2021
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