Individual
NICHOLAS HETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1106 E PROSPECT RD STE 100, FORT COLLINS, CO 80525-5304
(970) 495-7410
Mailing address
2822 N PLUMTHICKET CIR, WICHITA, KS 67226-2175
(316) 655-6894
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0069911
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2021
Last updated
07/22/2024
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