Individual
NICOLE A CRYANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2045 N FRANKLIN ST, DENVER, CO 80205-5437
(303) 861-4636
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1728
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016023
KAISER COMMERCIAL NUMBER
CO
05
—
90205260
—
CO
Enumeration date
03/07/2007
Last updated
05/12/2021
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