Individual provider · NPI-1

Nicole W. Mcgee, DA

Specialist/Technologist, Other, Illustration, Medical · Fort Collins, CO

NPI number1891404059
StatusActive
Last updated in NPPESNov 16, 2022

Details

NPI
1891404059
Entity type
Individual (NPI-1)
Name
Mrs. Nicole W. Mcgee
Credential
DA
Sex
Female
Sole proprietor
No
Enumeration date
Nov 16, 2022
Certification date
Nov 16, 2022
Last updated
Nov 16, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
246ZI1000X Specialist/Technologist, Other, Illustration, MedicalST.0005541COYes

Other names

  • Nicole Wallace (Former Name)

Practice location

2014 Caribou Dr Ste 100
Fort Collins, CO 80525-4330

Phone 970-225-9555 · Fax 970-223-2294

Mailing address

2014 Caribou Dr Ste 100
Fort Collins, CO 80525-4330

Phone 970-225-9555 · Fax 970-223-2294

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Other Specialist/Technologist, Other, Illustration, Medical providers in Fort Collins, CO