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NPI Code Detail

MEDICARE: ANGELA NIX NIX

MEDICARE: ANGELA NIX NIX
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
1171M00000XCase Manager/Care Coordinator13431CO

General Provider Information

NPI Number : 1366846966
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA NIX NIX
Provider Business Mailing Address
First Line : 516 SHADY CREST CIR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80916-3948
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 525 E UINTAH ST
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80903-2514
Country : US
Telephone Number : 719-471-9253
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2014
Last Update Date : 10/10/2014

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Directions to “ ANGELA NIX NIX ” Practice Location

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