Individual
NICOLE A MEZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
125 RAMPART WAY, SUITE 200, DENVER, CO 80230
(720) 858-7557
(720) 858-7615
Mailing address
14000 E ARAPAHOE RD, STE 240, CENTENNIAL, CO 80112
(303) 632-3694
(303) 632-3692
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
892
COLORADO LICENSE
CO
Enumeration date
10/15/2010
Last updated
10/15/2010
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