Individual
CARLY ANN MICEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2525 15TH ST, DENVER, CO 80211-3989
(859) 779-0419
Mailing address
9373 MORNING GLORY LN, HIGHLANDS RANCH, CO 80130-4494
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
171400000X
Health & Wellness Coach
QSSS85IEQY
—
Other
Enumeration date
08/28/2025
Last updated
08/28/2025
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