Individual
MRS. NICOLE BODINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1650 COCHRANE CIR, COLORADO SPRINGS, CO 80913-4613
(719) 556-8661
Mailing address
1650 COCHRANE CIR, COLORADO SPRINGS, CO 80913-4613
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.1631955
CO
163W00000X
Registered Nurse
RN9343044
FL
363L00000X
Nurse Practitioner
Primary
0992070-NP
CO
363LF0000X
Family Nurse Practitioner
APN.0992070-NP
CO
Other
Enumeration date
11/10/2015
Last updated
11/27/2023
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