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NPI Code Detail

MEDICARE: DANIELLE NICHOLS

MEDICARE: DANIELLE NICHOLS
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
1235Z00000XSpeech-Language PathologistSLP.0002132

General Provider Information

NPI Number : 1215580543
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE NICHOLS
Provider Business Mailing Address
First Line : 7935 E PRENTICE AVE STE 104
Second Line :
City : GREENWOOD VILLAGE
State : CO
Zip : 80111-2711
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7935 E PRENTICE AVE STE 104
Second Line :
City : GREENWOOD VILLAGE
State : CO
Zip : 80111-2711
Country : US
Telephone Number : 303-756-0280
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2019
Last Update Date : 07/16/2019

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Directions to “ DANIELLE NICHOLS ” 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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