MEDICARE: NICOLAS ANDRES VALENZUELA 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
1	163WC0200X	Critical Care Medicine Registered Nurse	RN.1633528	CO
2	363L00000X	Nurse Practitioner	APN.0996769-NP	CO

General Provider Information

NPI Number	:	1871165217
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLAS ANDRES VALENZUELA FNP

Provider Business Mailing Address
First Line	:	PO BOX 800022
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64180-0022
Country	:	US
Telephone Number	:	800-953-0104
Fax Number	:	303-765-6670

Provider Business Practice Location Address
First Line	:	3260 BLUE MOUNTAIN WAY
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80906-4504
Country	:	US
Telephone Number	:	559-301-2001
Fax Number	:

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

Provider Enumeration Date	:	07/14/2021
Last Update Date	:	02/02/2024

Similar Medicare Providers

1447803382 — JJ ELEVATION, PLLC
Practice Location Address:

10012 COYOTE SONG TER
COLORADO SPRINGS, CO
80924-4504

Practice Phone: 719-357-1336
Practice Fax:

1992328926 — RACHEL WATSON REGISTERED NURSE
Practice Location Address:

2535 STONE CREEK RD
COLORADO SPRINGS, CO
80908-4504

Practice Phone: 719-210-4881
Practice Fax:

1457162174 — DR KERRY E BERG LLC
Practice Location Address:

8340 RUSSETT CT
COLORADO SPRINGS, CO
80919-4504

Practice Phone: 719-660-4390
Practice Fax:

1174673461 — RICHFIELD SPRINGS CSD
Practice Location Address:

93 MAIN ST
RICHFIELD SPRINGS, NY
13439-4504

Practice Phone: 315-858-0610
Practice Fax:

1548579360 — MRS. JENNIFER ANNE DOXTATER OTR/L
Practice Location Address:

93 MAIN ST
RICHFIELD SPRINGS, NY
13439-4504

Practice Phone: 315-858-0610
Practice Fax:

1962771428 — MRS. RAMONA MARIE UDOVICH R.N.
Practice Location Address:

93 MAIN ST
RICHFIELD SPRINGS, NY
13439-4504

Practice Phone: 315-858-0610
Practice Fax: 315-858-2440

Directions to “ NICOLAS ANDRES VALENZUELA FNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.