Doctor Name: | NICOLE SOLK |
NPI Number: | 1013340421 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 005474 |
Business Practice Address: | 515 28 3/4 Rd Grand Junction, CO - 815015016 |
Business Phone Number: | 9702416023 |
Business Fax Number: | 9706837276 |
Mailing Address: | 715 Horizon Dr, Ste 225 GRAND JUNCTION |
State: | CO |
Postal Code: | 815068700 |
Phone Number: | 9706837107 |
Fax Number: | 9706837167 |
NPI Enumeration Date: | 08/21/2013 |
NPI Last Update Date: | 10/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | 005474 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |