| Nikander And Company, Inc | |
|
4450 Arapahoe Ave Ste 100 Boulder CO 80303 | |
| (303) 444-6800 | |
| (303) 496-6802 |
| Full Name | Nikander And Company, Inc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 08/14/2012 |
| Last Update Date | 12/15/2022 |
| Medicare PECOS PAC ID | 4587894498 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689890303 PECOS PAC ID: 0345130589 Enrollment ID: I20040401001026 |
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