Provider Demographics
NPI:1841519352
Name:MILLER, NICOLE CHRISTINE (AUD)
Entity type:Individual
Prefix:DR
First Name:NICOLE
Middle Name:CHRISTINE
Last Name:MILLER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:DR
Other - First Name:NICOLE
Other - Middle Name:CHRISTINE
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:8321 SANGRE DE CRISTO RD
Mailing Address - Street 2:STE 202
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-6425
Mailing Address - Country:US
Mailing Address - Phone:303-984-4414
Mailing Address - Fax:303-984-6244
Practice Address - Street 1:155 S MADISON ST
Practice Address - Street 2:STE 240
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209-3011
Practice Address - Country:US
Practice Address - Phone:303-321-1402
Practice Address - Fax:303-321-1452
Is Sole Proprietor?:No
Enumeration Date:2010-05-24
Last Update Date:2015-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO779231H00000X
NE231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO440023YR4SMedicare PIN