Tanya G. Nicholson O.D.

NPI 1003877937 - Optometrist - 152W00000X

NPI Details
NPI 1003877937
Gender Female
Enumeration Date 03/30/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1250 E MAGNOLIA ST
LOCATED IN WAL-MART
FT COLLINS CO, 80524-2754, US
Phone (970) 224-0606
Fax (970) 493-9309
Business Location
396 N SNOWMASS CIR
SUPERIOR CO, 80027-6124, US
Phone (303) 818-1852
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Colorado
License Number 2094
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According to our database, Dr. Tanya G. Nicholson O.D. NPI is 1003877937, taxonomy code is 152W00000X and license number is 2094, license state is located at Colorado. Tanya G. Nicholson O.D. physically located at 1250 E Magnolia St, Ft Collins CO, 80524-2754. NPI Number Tanya G. Nicholson O.D. has the Individual type.

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1003877937 NPI number is provided on an as is basis without warranty of any kind. 1003877937 is maintained by the National Plan & Provider Enumeration System. The contents of Tanya G. Nicholson O.D. are for informational purposes only.