Individual
HEIDI NIGHTENGALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2520 W 16TH ST, GREELEY, CO 80634-4941
(970) 356-2520
Mailing address
6801 W 20TH ST UNIT 101, GREELEY, CO 80634-9640
(970) 378-8000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
65001
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DR.0065001
STATE LICENSE
CO
Enumeration date
05/24/2017
Last updated
08/27/2020
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