MEDICARE: MISS APRIL THAIR NUNN COT

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	247200000X	Other Technician

General Provider Information

NPI Number	:	1538360094
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS APRIL THAIR NUNN COT

Provider Business Mailing Address
First Line	:	2 S CASCADE AVE
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80903-1624
Country	:	US
Telephone Number	:	719-475-7700
Fax Number	:

Provider Business Practice Location Address
First Line	:	209 S NEVADA AVE
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80903-1906
Country	:	US
Telephone Number	:	719-475-7700
Fax Number	:

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

Provider Enumeration Date	:	05/30/2007
Last Update Date	:	07/08/2007

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