Provider Demographics
NPI:1083885339
Name:SEIS, NICOLE CORRINE (RN, BSN)
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:CORRINE
Last Name:SEIS
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6162 S. WILLOW DRIVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-5114
Mailing Address - Country:US
Mailing Address - Phone:303-220-9200
Mailing Address - Fax:303-220-9208
Practice Address - Street 1:15400 E 14TH PL
Practice Address - Street 2:SUITE 309
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-5818
Practice Address - Country:US
Practice Address - Phone:303-341-9370
Practice Address - Fax:303-367-2597
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-14
Last Update Date:2010-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO181928163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse