Individual
NICOLE B GOLDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
455 SAINT MICHAELS DR, SANTA FE, NM 87505-7601
(505) 913-5470
(505) 913-6489
Mailing address
455 SAINT MICHAELS DR, SANTA FE, NM 87505-7601
(505) 913-5470
(505) 913-6489
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
0430700
KS
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD2011-0221
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104211
BLUE CROSS BLUE SHIELD
KS
05
—
200265340A
—
KS
05
—
200335260A
—
KS
01
—
P00166968
RAILROAD MEDICARE
KS
Enumeration date
01/26/2007
Last updated
05/16/2012
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