Individual
JONA S NYKREIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
377 SYLVAN LAKE RD STE 210, EAGLE, CO 81631-6779
(970) 926-6340
(970) 926-6348
Mailing address
PO BOX 4330, AVON, CO 81620-4330
(970) 926-6340
(970) 926-6348
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1851
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47851252
—
CO
Enumeration date
06/12/2006
Last updated
03/13/2023
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