Individual
REBECCA HENDERSON NIZNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8890 N UNION BLVD STE 170, COLORADO SPRINGS, CO 80920-2701
(719) 364-5005
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(970) 624-2403
(970) 490-4173
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0001644
CO
363AM0700X
Medical Physician Assistant
1644
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50676334
—
CO
Enumeration date
08/08/2006
Last updated
02/27/2026
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