Provider Demographics
NPI:1336396092
Name:CRIBBIS, NICOLE MARIE
Entity Type:Individual
Prefix:MRS
First Name:NICOLE
Middle Name:MARIE
Last Name:CRIBBIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 PEARL ST
Mailing Address - Street 2:APT.401
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-4168
Mailing Address - Country:US
Mailing Address - Phone:989-400-3387
Mailing Address - Fax:
Practice Address - Street 1:150 N 19TH AVE
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:CO
Practice Address - Zip Code:80601-1951
Practice Address - Country:US
Practice Address - Phone:303-654-1850
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-25
Last Update Date:2008-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker