Individual
NICKOLUS DELONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
4777 S ODESSA ST, CENTENNIAL, CO 80015-3449
(757) 921-7087
Mailing address
4777 S ODESSA ST, CENTENNIAL, CO 80015-3449
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.1000425-NP
CO
Other
Enumeration date
02/12/2025
Last updated
02/14/2025
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