Individual
NICOLE ELIZABETH PRENTICE-GAYTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1400 E BOULDER ST STE 700, COLORADO SPRINGS, CO 80909-5533
(719) 365-7172
(719) 365-7668
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(970) 624-2420
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
347277
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/19/2016
Last updated
09/26/2022
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