Individual
NICOLE B MCDERMOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M D
Contact information
Practice address
1906 BLAKE AVENUE, GLENWOOD SPRINGS, CO 81601
(970) 945-6535
Mailing address
PO BOX 203, GLENWOOD SPRINGS, CO 81602-0203
(303) 906-4078
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
44410
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017283
KAISER-COMMERCIAL NUMBER
—
05
—
20086776
—
CO
Enumeration date
04/19/2007
Last updated
04/24/2008
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