| Doctor Name: | NICHOLE D SMITH |
| NPI Number: | 1467582213 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 169082 |
| Business Practice Address: | 2500 S Havana St Aurora, CO - 800141618 |
| Business Phone Number: | 3033383938 |
| Business Fax Number: | |
| Mailing Address: | 950 S Cimarron Way, G 106 AURORA |
| State: | CO |
| Postal Code: | 800123629 |
| Phone Number: | 3033331705 |
| Fax Number: | |
| NPI Enumeration Date: | 03/07/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 169082 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |