Healthcare Provider Details

I. General information

NPI: 1497286181
Provider Name (Legal Business Name): BRITTE NOTZOLD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2017
Last Update Date: 03/23/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2045 N FRANKLIN ST
DENVER CO
80205-5437
US

IV. Provider business mailing address

965 N HUMBOLDT ST APT 201
DENVER CO
80218-3563
US

V. Phone/Fax

Practice location:
  • Phone: 303-861-3402
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number188973
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: