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NPI Code Detail

MEDICARE: NICOLA SUE ADAMS FNP

MEDICARE:   NICOLA SUE ADAMS  FNP
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
1363LF0000XFamily Nurse Practitioner449738CA
2363LF0000XFamily Nurse Practitioner195665CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568442945
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLA SUE ADAMS FNP
Provider Business Mailing Address
First Line : 340 PRINTERS PKWY
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80910-3190
Country : US
Telephone Number : 719-632-5700
Fax Number :
Provider Business Practice Location Address
First Line : 2502 E PIKES PEAK AVE
Second Line : 4TH FLOOR
City : COLORADO SPRINGS
State : CO
Zip : 80909-6033
Country : US
Telephone Number : 719-632-5700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2006
Last Update Date : 07/06/2012

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Directions to “ NICOLA SUE ADAMS FNP” Practice Location

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