Braddock, Nicole Anna

Braddock, Nicole Anna is an individual health care provider with primary practice located at 13123 E 16Th Ave B060, Aurora CO 80045-7106. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Braddock, Nicole Anna can be contacted via phone (720) 777-4871.

Contact Information

Primary practice address
13123 E 16Th Ave B060 Aurora CO 80045-7106
Phone: (720) 777-4871
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2842 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA.0002842 Colorado

Profile Details

NPI number 1134457310
LBN Legal business name Braddock, Nicole Anna
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2009
Last updated Oct 23rd, 2018 - about 6 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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