Individual
ALLISON R NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1107 S LEMAY AVE, SUITE 240, FORT COLLINS, CO 80524-3960
(970) 495-7421
(970) 495-7424
Mailing address
1107 S LEMAY AVE, SUITE 240, FORT COLLINS, CO 80524-3960
(970) 495-7421
(970) 495-7424
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA051081
PA
363A00000X
Physician Assistant
Primary
PA.0004675
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31977839
—
CO
Enumeration date
12/09/2005
Last updated
10/07/2016
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