Individual
CHRISTINE DAWN NICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6345 MOCCASIN PASS CT, COLORADO SPRINGS, CO 80919-4452
(719) 694-6483
Mailing address
6345 MOCCASIN PASS CT, COLORADO SPRINGS, CO 80919-4452
(719) 694-6483
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RXN.0109348-NP
CO
Other
Enumeration date
11/21/2024
Last updated
11/21/2024
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