Nikander And Company, Inc | |
4450 Arapahoe Ave Ste 100 Boulder CO 80303 | |
(303) 444-6800 | |
(303) 496-6802 |
Full Name | Nikander And Company, Inc |
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Speciality | Nurse Practitioner |
Location | 4450 Arapahoe Ave Ste 100, Boulder, Colorado |
Authorized Official Name and Position | Donna Marie Grandi-nikander (OWNER) |
Authorized Official Contact | 3034446800 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Nikander And Company, Inc Po Box 21150 Boulder CO 80308-4150 Ph: (303) 546-9158 | Nikander And Company, Inc 4450 Arapahoe Ave Ste 100 Boulder CO 80303 Ph: (303) 444-6800 |
NPI Number | 1336496926 |
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Provider Enumeration Date | 08/14/2012 |
Last Update Date | 12/15/2022 |
Medicare PECOS PAC ID | 4587894498 |
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Medicare Enrollment ID | O20140220000263 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336496926 | NPI | - | NPPES |
46870571 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
Provider Name | Donna M Grandi-nikander |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689890303 PECOS PAC ID: 0345130589 Enrollment ID: I20040401001026 |
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