Healthcare Provider Details

I. General information

NPI: 1225919731
Provider Name (Legal Business Name): NILE BUNCE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2025
Last Update Date: 02/22/2026
Certification Date: 02/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7251 E 49TH AVE
COMMERCE CITY CO
80022-4714
US

IV. Provider business mailing address

2750 W 4TH AVE
DENVER CO
80219-1613
US

V. Phone/Fax

Practice location:
  • Phone: 303-321-2533
  • Fax:
Mailing address:
  • Phone: 302-450-6612
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSWC.0000002669
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLSW.0009927079
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: