Provider Demographics
NPI:1770857716
Name:MONSON, NICOLE D (CNT)
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:D
Last Name:MONSON
Suffix:
Gender:F
Credentials:CNT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 S MADISON ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-3031
Mailing Address - Country:US
Mailing Address - Phone:713-591-5558
Mailing Address - Fax:
Practice Address - Street 1:121 S MADISON ST
Practice Address - Street 2:SUITE D
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209-3031
Practice Address - Country:US
Practice Address - Phone:713-591-5558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-07
Last Update Date:2012-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist