Individual
NICOLE MIELNICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1396 S 21ST ST, COLORADO SPRINGS, CO 80904-4261
(719) 520-3311
Mailing address
9463 PALLADIUM HTS, COLORADO SPRINGS, CO 80920-1623
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD.0001079
CO
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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