Provider Demographics
NPI:1568778363
Name:DONNER, NICOLA (CNIM)
Entity Type:Individual
Prefix:
First Name:NICOLA
Middle Name:
Last Name:DONNER
Suffix:
Gender:F
Credentials:CNIM
Other - Prefix:
Other - First Name:NICOLA
Other - Middle Name:
Other - Last Name:DONNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNIM
Mailing Address - Street 1:PO BOX 40856
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80204-0856
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5160 VALLEJO ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80221-1366
Practice Address - Country:US
Practice Address - Phone:970-581-8700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-31
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic