Individual
NICOLE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
1525 BLUE SPRUCE DR, FORT COLLINS, CO 80524-2004
(970) 498-6700
Mailing address
1525 BLUE SPRUCE DR, FORT COLLINS, CO 80524-2004
(970) 498-6700
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
1671517
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1671517
RN LICENSE
CO
Enumeration date
04/07/2022
Last updated
04/07/2022
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