Healthcare Provider Details

I. General information

NPI: 1487577375
Provider Name (Legal Business Name): NICHOL MARINA PIRTZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1245 E COLFAX AVE STE 403
DENVER CO
80218-2238
US

IV. Provider business mailing address

1245 E COLFAX AVE STE 403
DENVER CO
80218-2238
US

V. Phone/Fax

Practice location:
  • Phone: 970-508-3390
  • Fax:
Mailing address:
  • Phone: 970-508-3390
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: