Healthcare Provider Details

I. General information

NPI: 1104895481
Provider Name (Legal Business Name): NICOLE L PINKERTON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2006
Last Update Date: 05/01/2025
Certification Date: 05/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 S CAMINO DEL RIO B2
DURANGO CO
81303-6826
US

IV. Provider business mailing address

70 CLEAR CREEK LOOP
DURANGO CO
81301-8101
US

V. Phone/Fax

Practice location:
  • Phone: 970-259-0701
  • Fax: 970-259-0109
Mailing address:
  • Phone: 970-259-0701
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number39575
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberCDRH.0039575
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: