Provider Demographics
NPI:1679795918
Name:UTTER, NANCY (ND)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:
Last Name:UTTER
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 COUNTY ROAD 250 UNIT A
Mailing Address - Street 2:
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81301-7519
Mailing Address - Country:US
Mailing Address - Phone:970-247-0737
Mailing Address - Fax:970-247-0697
Practice Address - Street 1:117 COUNTY ROAD 250 UNIT A
Practice Address - Street 2:
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81301-7519
Practice Address - Country:US
Practice Address - Phone:970-247-0737
Practice Address - Fax:970-247-0697
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT00001294175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath