MEDICARE: DR. NICOLE TROYER DC

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	111N00000X	Chiropractor	CH12832	FL
2	111N00000X	Chiropractor	CHR.0008176	CO

General Provider Information

NPI Number	:	1114571163
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NICOLE TROYER DC

Provider Business Mailing Address
First Line	:	4462 TUMBLEWEED TRL
Second Line	:
City	:	PORT ORANGE
State	:	FL
Zip	:	32127-4984
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5616 S GIBRALTAR WAY
Second Line	:
City	:	CENTENNIAL
State	:	CO
Zip	:	80015-5305
Country	:	US
Telephone Number	:	720-572-7958
Fax Number	:

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

Provider Enumeration Date	:	07/29/2019
Last Update Date	:	01/20/2022

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Directions to “ DR. NICOLE TROYER DC” Practice Location

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