Healthcare Provider Details

I. General information

NPI: 1215232251
Provider Name (Legal Business Name): NICOLE FRENS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/24/2011
Last Update Date: 01/24/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1255 JUNIPER DR
ESTES PARK CO
80517-7511
US

IV. Provider business mailing address

1255 JUNIPER DR
ESTES PARK CO
80517-7511
US

V. Phone/Fax

Practice location:
  • Phone: 970-480-5073
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: