Individual
NICOLE LYNNE SOISETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4597
(303) 436-4949
(303) 602-8176
Mailing address
777 BANNOCK ST, DENVER, CO 80204-4597
(303) 436-4949
(303) 602-8176
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DR.0062059
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386008621
—
CO
Enumeration date
04/13/2016
Last updated
12/31/2024
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