Individual
NICOLE TRAINOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2121 E HARMONY RD UNIT 350, FORT COLLINS, CO 80528-3404
(970) 221-2370
(970) 221-9654
Mailing address
PO BOX 603725, CHARLOTTE, NC 28260-3725
(828) 575-2625
(828) 350-2174
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0005498
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
848573
MEDICARE PTAN
CO
05
—
9000175742
—
CO
Enumeration date
08/05/2019
Last updated
10/18/2023
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