MEDICARE: NICOLE GLYNN

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	163WN0002X	Neonatal Intensive Care Registered Nurse	RN.1690826	CO

General Provider Information

NPI Number	:	1528993185
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLE GLYNN

Provider Business Mailing Address
First Line	:	20054 SUMMERSET CT
Second Line	:
City	:	PARKER
State	:	CO
Zip	:	80138-3831
Country	:	US
Telephone Number	:	720-461-0015
Fax Number	:

Provider Business Practice Location Address
First Line	:	790 DELAWARE ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80204-4532
Country	:	US
Telephone Number	:	720-461-0015
Fax Number	:

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

Provider Enumeration Date	:	06/16/2026
Last Update Date	:	06/16/2026

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Directions to “ NICOLE GLYNN ” Practice Location

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