Provider Demographics
NPI:1902117401
Name:HENRIKSEN, NICOLE ASPEN (OD)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:ASPEN
Last Name:HENRIKSEN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:630 N LAST CHANCE GULCH
Mailing Address - Street 2:SUITE 1200
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601
Mailing Address - Country:US
Mailing Address - Phone:406-442-6814
Mailing Address - Fax:406-443-7732
Practice Address - Street 1:630 N LAST CHANCE GULCH
Practice Address - Street 2:SUITE 1200
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601
Practice Address - Country:US
Practice Address - Phone:406-442-6814
Practice Address - Fax:406-443-7732
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-30
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MT819152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist