1841519352 NPI number — DR. NICOLE CHRISTINE MILLER AU.D.

Table of content: DR. NICOLE CHRISTINE MILLER AU.D. (NPI 1841519352)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841519352 NPI number — DR. NICOLE CHRISTINE MILLER AU.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MILLER
Provider First Name:
NICOLE
Provider Middle Name:
CHRISTINE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
AU.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
WILLIAMS
Provider Other First Name:
NICOLE
Provider Other Middle Name:
CHRISTINE
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
AU.D.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1841519352
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/04/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8321 SANGRE DE CRISTO RD
Provider Second Line Business Mailing Address:
STE 202
Provider Business Mailing Address City Name:
LITTLETON
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80127-6425
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-984-4414
Provider Business Mailing Address Fax Number:
303-984-6244

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
155 S MADISON ST
Provider Second Line Business Practice Location Address:
STE 240
Provider Business Practice Location Address City Name:
DENVER
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80209-3011
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-321-1402
Provider Business Practice Location Address Fax Number:
303-321-1452
Provider Enumeration Date:
05/24/2010

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 231H00000X , with the licence number:  779 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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