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NPI Code Detail

MEDICARE: NICHOLAS MYERS

MEDICARE:   NICHOLAS  MYERS
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1386024586
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICHOLAS MYERS
Provider Business Mailing Address
First Line : 9135 HOYT ST
Second Line :
City : WESTMINSTER
State : CO
Zip : 80021-4451
Country : US
Telephone Number : 303-882-8248
Fax Number :
Provider Business Practice Location Address
First Line : 1512 MONACO PKWY
Second Line :
City : DENVER
State : CO
Zip : 80220-1641
Country : US
Telephone Number : 303-355-4008
Fax Number : 303-355-0958
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2015
Last Update Date : 06/02/2015

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Directions to “ NICHOLAS MYERS ” Practice Location

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