Individual
NANCY A NICKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNCNP
Contact information
Practice address
916 LAKE ST, FORT MORGAN, CO 80701-3029
(303) 232-3675
Mailing address
916 LAKE ST, FORT MORGAN, CO 80701-3029
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
44603
CO
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
44603
CO
Other
Enumeration date
09/27/2006
Last updated
07/10/2007
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