Healthcare Provider Details

I. General information

NPI: 1700823911
Provider Name (Legal Business Name): NANCY E STRAIN DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/31/2006
Last Update Date: 01/29/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5044 W 92ND AVE
WESTMINSTER CO
80031-6302
US

IV. Provider business mailing address

13650 E MISSISSIPPI AVE 100-B
AURORA CO
80012-3561
US

V. Phone/Fax

Practice location:
  • Phone: 303-429-9311
  • Fax: 303-429-9399
Mailing address:
  • Phone: 303-695-1338
  • Fax: 303-695-8814

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number41779
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: