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NPI Code Detail

MEDICARE: NIKITA GAYLE ROMANZOV

MEDICARE:   NIKITA GAYLE ROMANZOV
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1003670910
Entity Type Code : Individual
Provider Name (Legal Business Name) : NIKITA GAYLE ROMANZOV
Provider Business Mailing Address
First Line : 3238 FEDERAL BLVD
Second Line :
City : DENVER
State : CO
Zip : 80211-3212
Country : US
Telephone Number : 415-823-8599
Fax Number :
Provider Business Practice Location Address
First Line : 3238 FEDERAL BLVD
Second Line :
City : DENVER
State : CO
Zip : 80211-3212
Country : US
Telephone Number : 415-823-8599
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2024
Last Update Date : 02/12/2024

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Directions to “ NIKITA GAYLE ROMANZOV ” Practice Location

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