Provider Demographics
NPI:1659593499
Name:RAO, NANCY ANN (ND LAC)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:ANN
Last Name:RAO
Suffix:
Gender:F
Credentials:ND LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1295 YELLOW PINE AVE
Mailing Address - Street 2:BOULDER NATUROPATHIC CLINIC
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80304-2264
Mailing Address - Country:US
Mailing Address - Phone:303-545-2021
Mailing Address - Fax:303-545-2003
Practice Address - Street 1:1295 YELLOW PINE AVE
Practice Address - Street 2:BOULDER NATUROPATHIC CLINIC
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80304-2264
Practice Address - Country:US
Practice Address - Phone:303-545-2021
Practice Address - Fax:303-545-2003
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO117171100000X
OR80171100000X
OR652175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered171100000XOther Service ProvidersAcupuncturist
Not Answered175F00000XOther Service ProvidersNaturopath