Provider Demographics
NPI:1952356339
Name:HOOYMAN, NANCY WILCOX (MD)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:WILCOX
Last Name:HOOYMAN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:7750 S BROADWAY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80122-2623
Mailing Address - Country:US
Mailing Address - Phone:303-347-9897
Mailing Address - Fax:303-347-9912
Practice Address - Street 1:7750 S BROADWAY
Practice Address - Street 2:SUITE 100
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80122-2623
Practice Address - Country:US
Practice Address - Phone:303-347-9897
Practice Address - Fax:303-347-9912
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-23
Last Update Date:2014-08-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CODR.0044453207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO22436341Medicaid
COC805589Medicare PIN
COA10412Medicare UPIN