Provider Demographics
NPI:1629837067
Name:NANCIE C ZIEMKE
Entity Type:Organization
Organization Name:NANCIE C ZIEMKE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NANCIE
Authorized Official - Middle Name:C
Authorized Official - Last Name:ZIEMKE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:720-507-8479
Mailing Address - Street 1:1663 S HUDSON ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-3932
Mailing Address - Country:US
Mailing Address - Phone:720-507-8479
Mailing Address - Fax:
Practice Address - Street 1:1663 S HUDSON ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-3932
Practice Address - Country:US
Practice Address - Phone:720-507-8479
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty