Individual
DR. TRACI L NIVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
K7424
TX
207V00000X
Obstetrics & Gynecology Physician
DR 0053022
CO
208M00000X
Hospitalist Physician
Primary
DR.0053022
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155737302
—
TX
05
—
155737303
—
TX
Enumeration date
06/25/2006
Last updated
11/17/2018
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