MEDICARE: NICOLINE FRINWIE NP

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APN.0997873	CO

General Provider Information

NPI Number	:	1851029714
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLINE FRINWIE NP

Provider Business Mailing Address
First Line	:	14141 E 102ND AVE
Second Line	:
City	:	COMMERCE CITY
State	:	CO
Zip	:	80022-9483
Country	:	US
Telephone Number	:	267-939-6114
Fax Number	:

Provider Business Practice Location Address
First Line	:	14141 E 102ND AVE
Second Line	:
City	:	COMMERCE CITY
State	:	CO
Zip	:	80022-9483
Country	:	US
Telephone Number	:	267-939-6114
Fax Number	:

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

Provider Enumeration Date	:	08/09/2022
Last Update Date	:	08/09/2022

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