MEDICARE: KATIE NADING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	APN.0994572-NP	CO

General Provider Information

NPI Number	:	1053912196
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATIE NADING

Provider Business Mailing Address
First Line	:	1371 RALEIGH ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80204-1417
Country	:	US
Telephone Number	:	719-651-0973
Fax Number	:

Provider Business Practice Location Address
First Line	:	950 E HARVARD AVE STE 570
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80210-7003
Country	:	US
Telephone Number	:	303-715-9024
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/05/2020
Last Update Date	:	11/05/2020

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Directions to “ KATIE NADING ” Practice Location

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