Individual
MS. CARMEN NIETO AGUIRRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6340 BARNES RD, COLORADO SPRINGS, CO 80922-2602
(719) 522-1133
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0002259
CO
363AM0700X
Medical Physician Assistant
PA.0002259
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
46159746
—
CO
Enumeration date
12/29/2006
Last updated
04/18/2025
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