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NPI Code Detail

MEDICARE: MISS BARBARA BETH NIVEN PAC

MEDICARE: MISS BARBARA BETH NIVEN PAC
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
1363AM0700XMedical Physician Assistant304CO

General Provider Information

NPI Number : 1184619348
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS BARBARA BETH NIVEN PAC
Provider Business Mailing Address
First Line : 2940 N CIRCLE DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80909-1160
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2940 N CIRCLE DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80909-1160
Country : US
Telephone Number : 719-635-7321
Fax Number : 719-635-2510
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2005
Last Update Date : 11/03/2025

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Directions to “ MISS BARBARA BETH NIVEN PAC” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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