Provider Demographics
NPI:1407398167
Name:NASSOLO, HARRIET (BSN, RN)
Entity Type:Individual
Prefix:
First Name:HARRIET
Middle Name:
Last Name:NASSOLO
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18399 E LINVALE DR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80013-6154
Mailing Address - Country:US
Mailing Address - Phone:303-522-5415
Mailing Address - Fax:
Practice Address - Street 1:9085 RANCH RIVER CIR
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80126-5094
Practice Address - Country:US
Practice Address - Phone:720-348-7900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-12
Last Update Date:2016-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO201755163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse