Individual
AMY NITCHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 ALPINE AVE, BOULDER, CO 80304-3406
(303) 443-8500
Mailing address
1455 DIXON AVE, LAFAYETTE, CO 80026-8879
(303) 443-8500
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
10/23/2019
Last updated
11/05/2019
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