Provider Demographics
NPI:1700823911
Name:STRAIN, NANCY E (DO)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:E
Last Name:STRAIN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:13650 E MISSISSIPPI AVE
Mailing Address - Street 2:100-B
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-3561
Mailing Address - Country:US
Mailing Address - Phone:303-695-1338
Mailing Address - Fax:303-695-8814
Practice Address - Street 1:5044 W 92ND AVE
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80031-6302
Practice Address - Country:US
Practice Address - Phone:303-429-9311
Practice Address - Fax:303-429-9399
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-31
Last Update Date:2009-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO41779207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO54652723Medicaid
COI23078Medicare UPIN
CO54652723Medicaid