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NPI Code Detail

MEDICARE: LAUREL NARD

MEDICARE:   LAUREL  NARD
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
1101YP2500XProfessional Counselor0016041CO

General Provider Information

NPI Number : 1578054458
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREL NARD
Provider Business Mailing Address
First Line : 8461 TURNPIKE DR STE 203
Second Line :
City : WESTMINSTER
State : CO
Zip : 80031-4379
Country : US
Telephone Number : 303-214-2106
Fax Number : 303-265-9465
Provider Business Practice Location Address
First Line : 208 RACQUETTE DR
Second Line :
City : FORT COLLINS
State : CO
Zip : 80524-4851
Country : US
Telephone Number : 970-310-3406
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2018
Last Update Date : 03/30/2020

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Directions to “ LAUREL NARD ” Practice Location

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