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NPI Code Detail

MEDICARE: DR. NICOLETTE ANGELICA PICERNO M.D.

MEDICARE: DR. NICOLETTE ANGELICA PICERNO M.D.
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
1207YX0905XOtolaryngology/Facial Plastic Surgery Physician38744CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
238744OTHERCOSTATE

General Provider Information

NPI Number : 1851493936
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NICOLETTE ANGELICA PICERNO M.D.
Provider Business Mailing Address
First Line : 850 E HARVARD AVE
Second Line : STE #505
City : DENVER
State : CO
Zip : 80210-5073
Country : US
Telephone Number : 303-744-1961
Fax Number : 303-744-1110
Provider Business Practice Location Address
First Line : 850 E HARVARD AVE STE 505
Second Line :
City : DENVER
State : CO
Zip : 80210-5078
Country : US
Telephone Number : 303-744-1961
Fax Number : 303-744-1110
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2006
Last Update Date : 01/24/2024

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