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NPI Code Detail

MEDICARE: NOAH DOMMER FNP

MEDICARE: NOAH DOMMER 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
1363L00000XNurse PractitionerAPN.0995679-NPCO
2363LP0808XPsychiatric/Mental Health Nurse PractitionerAPN.0995679-NPCO

General Provider Information

NPI Number : 1811503766
Entity Type Code : Individual
Provider Name (Legal Business Name) : NOAH DOMMER FNP
Provider Business Mailing Address
First Line : 6417 W 113TH PL
Second Line :
City : WESTMINSTER
State : CO
Zip : 80020-3029
Country : US
Telephone Number : 307-760-7118
Fax Number :
Provider Business Practice Location Address
First Line : 8300 W 38TH AVE
Second Line :
City : WHEAT RIDGE
State : CO
Zip : 80033-6005
Country : US
Telephone Number : 303-425-2500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2020
Last Update Date : 03/19/2026

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