MEDICARE: MRS. SUSAN SANGER NICHOLSON FNP

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
1	363LF0000X	Family Nurse Practitioner	5223	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558480756
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SUSAN SANGER NICHOLSON FNP

Provider Business Mailing Address
First Line	:	2030 MOUNTAIN VIEW AVE
Second Line	:	SUITE 400
City	:	LONGMONT
State	:	CO
Zip	:	80501-3178
Country	:	US
Telephone Number	:	303-702-5910
Fax Number	:	303-702-5935

Provider Business Practice Location Address
First Line	:	2030 MOUNTAIN VIEW AVE
Second Line	:	SUITE 400
City	:	LONGMONT
State	:	CO
Zip	:	80501-3182
Country	:	US
Telephone Number	:	303-702-5910
Fax Number	:	303-702-5935

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/28/2007
Last Update Date	:	05/22/2014

Similar Medicare Providers

1255361341 — MS. MARY BETH SPINOS PNNP, CNM, MSN
Practice Location Address:

2030 MOUNTAIN VIEW AVE STE 400
LONGMONT, CO
80501-3182

Practice Phone: 720-652-8730
Practice Fax: 720-652-8729

1750467213 — DR. RUSSELL GEORGE REITINGER M.D.
Practice Location Address:

2030 MOUNTAIN VIEW AVENUE , SUITE 400
LONGMONT, CO
80501-3182

Practice Phone: 303-702-5910
Practice Fax: 303-702-5935

1013044189 — DR. KATHERINE J HLADKY MD
Practice Location Address:

2030 MOUNTAIN VIEW AVE STE 400
LONGMONT, CO
80501-3182

Practice Phone: 720-652-8730
Practice Fax: 720-652-8729

1497922066 — ST. VRAIN OB-GYN ASSOCIATES, P.C.
Practice Location Address:

2030 MOUNTAIN VIEW AVE STE 440
LONGMONT, CO
80501-3182

Practice Phone: 303-772-7880
Practice Fax: 303-709-5790

1780819607 — DR. JOHN MICHAEL PADDACK M.D.
Practice Location Address:

2030 MOUNTAIN VIEW AVE STE 420
LONGMONT, CO
80501-3182

Practice Phone: 303-776-9400
Practice Fax:

1801453790 — DR. ALICIA SLOAN-WEST MD
Practice Location Address:

2030 MOUNTAIN VIEW AVE STE 400
LONGMONT, CO
80501-3182

Practice Phone: 720-652-8730
Practice Fax:

Directions to “ MRS. SUSAN SANGER NICHOLSON FNP” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.