Individual
NISREEN KHAZAAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1900 WARDENBURG DR, BOULDER, CO 80309-0001
(303) 492-5101
(303) 492-6861
Mailing address
119 UCB WARDENBURG, BOULDER, CO 80309-0001
(303) 492-5101
(303) 492-6861
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
046944
CT
207R00000X
Internal Medicine Physician
35094924
OH
207R00000X
Internal Medicine Physician
Primary
DR.0057623
CO
Other
Enumeration date
05/18/2007
Last updated
05/30/2024
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