Doctor Name: | MICHELLE R NADON |
NPI Number: | 1417261017 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | NP-10198 |
Business Practice Address: | 1000 Lincoln St Suite 203 Fort Morgan, CO - 807013290 |
Business Phone Number: | 9705420390 |
Business Fax Number: | 9705420394 |
Mailing Address: | 1000 Lincoln St, Suite 207 FORT MORGAN |
State: | CO |
Postal Code: | 807013290 |
Phone Number: | 9708677900 |
Fax Number: | 9708671950 |
NPI Enumeration Date: | 08/06/2010 |
NPI Last Update Date: | 08/06/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | NP-10198 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |