Provider Demographics
NPI:1457418014
Name:NOLA, NANCY DARLENE (NP)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:DARLENE
Last Name:NOLA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MRS
Other - First Name:NANCY
Other - Middle Name:DARLENE
Other - Last Name:BUCHTA-NOLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:2607 SHADECREST PL
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80126-7575
Mailing Address - Country:US
Mailing Address - Phone:303-741-4619
Mailing Address - Fax:303-741-4619
Practice Address - Street 1:3600 HAVANA ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80239-3266
Practice Address - Country:US
Practice Address - Phone:303-307-2600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO87883363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner