Weaver, Nicole Danielle

Weaver, Nicole Danielle is an individual health care provider with primary practice located at 1701 W 72Nd Ave , Denver CO 80221-2721. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Weaver, Nicole Danielle can be contacted via phone (303) 650-4460.

Contact Information

Primary practice address
1701 W 72Nd Ave Denver CO 80221-2721
Phone: (303) 650-4460
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 904468 Colorado

Profile Details

NPI number 1477541829
LBN Legal business name Weaver, Nicole Danielle
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2005
Last updated Mar 8th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477541829 NPPES
Colorado MEDICAID 65952243

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