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NPI Code Detail

MEDICARE: NICOLE KNUTSEN

MEDICARE: NICOLE KNUTSEN
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
1183500000XPharmacistPHA0019996CO

General Provider Information

NPI Number : 1669805859
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE KNUTSEN
Provider Business Mailing Address
First Line : 9869 SYDNEY LN
Second Line :
City : HIGHLANDS RANCH
State : CO
Zip : 80130-7185
Country : US
Telephone Number : 307-921-1069
Fax Number :
Provider Business Practice Location Address
First Line : 801 16TH ST
Second Line :
City : DENVER
State : CO
Zip : 80202-3205
Country : US
Telephone Number : 303-571-5314
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2013
Last Update Date : 07/01/2020

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Directions to “ NICOLE KNUTSEN ” 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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