Provider Demographics
NPI:1417261017
Name:NADON, MICHELLE R (NP)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:R
Last Name:NADON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 LINCOLN ST
Mailing Address - Street 2:SUITE 207
Mailing Address - City:FORT MORGAN
Mailing Address - State:CO
Mailing Address - Zip Code:80701-3290
Mailing Address - Country:US
Mailing Address - Phone:970-867-7900
Mailing Address - Fax:970-867-1950
Practice Address - Street 1:1000 LINCOLN ST
Practice Address - Street 2:SUITE 203
Practice Address - City:FORT MORGAN
Practice Address - State:CO
Practice Address - Zip Code:80701-3290
Practice Address - Country:US
Practice Address - Phone:970-542-0390
Practice Address - Fax:970-542-0394
Is Sole Proprietor?:No
Enumeration Date:2010-08-06
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
COAPN.0010198-NP363L00000X, 363LX0001X
CONP-10198363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily