Nicole Dawn Kinen, | |
1017 W 7th St, Wray, CO 80758-1420 | |
(970) 332-4811 | |
Not Available |
Full Name | Nicole Dawn Kinen |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1017 W 7th St, Wray, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700604030 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | C-ANP.0102967-C-NP (Colorado) | Primary |
Entity Name | Wray Community District Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477587202 PECOS PAC ID: 3274425038 Enrollment ID: O20040326000383 |
Mailing Address | Practice Location Address |
---|---|
Nicole Dawn Kinen, 1008 Cactus Ct, Wray, CO 80758-2036 Ph: (785) 332-5045 | Nicole Dawn Kinen, 1017 W 7th St, Wray, CO 80758-1420 Ph: (970) 332-4811 |
Bonetta Schulte, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1017 W 7th St, Wray, CO 80758 Phone: 970-332-4811 | |
Donna Marie Roberts, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1017 W 7th St, Wray, CO 80758 Phone: 970-332-4895 | |
Telena L Rogers, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1017 W 7th St, Wray, CO 80758 Phone: 970-332-4811 |