Individual
NICOLE BARTOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC, & FNP-BC
Contact information
Practice address
1600 W 24TH ST, PUEBLO, CO 81003-1499
(719) 546-4000
Mailing address
2152 GALE RD, PUEBLO, CO 81006-1933
(719) 251-1720
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
2019057574
CO
363LA2100X
Acute Care Nurse Practitioner
Primary
APN.0995258-NP
CO
363LF0000X
Family Nurse Practitioner
2019059336
CO
Other
Enumeration date
01/31/2020
Last updated
01/18/2023
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