| Provider / Organization | NPI | Date Certified |
|---|---|---|
| NICOLE DENNIS | 1083175475 | 2023-08-13 |
Nicole Dennis is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1083175475. Registration indicates Nicole Dennis is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care) (Diagnostic Radiology (Radiology),, ) (Allopathic & Osteopathic Physicians, Radiology) (Radiology: Diagnostic Radiology, ) (Diagnostics/Imaging/Laboratory/Mammography, ) (Radiology Diagnostic Radiology, Allopathic & Osteopathic Physicians) (Radiology, )
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Dr. Nicole Dennis MD |
| Practice Office Address | 1200 N STATE ST LOS ANGELES, CA US |
| Practice Office Telephone | 3234097242 |
| Mailing Address | 1960 N OGDEN ST STE 400 DENVER, CO 802183670 US |
| Address | City / State | Phone / Fax |
|---|---|---|
| 1960 N Ogden St Ste 400 | Denver, CO 802183670 | 3033181540 |
| Code | Practice | License No State |
|---|---|---|
| 390200000X | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care | TL.0007572
CO |
| 2085R0202X PRIMARY | Diagnostic Radiology (Radiology), Allopathic & Osteopathic Physicians Radiology Radiology: Diagnostic Radiology Diagnostics/Imaging/Laboratory/Mammography Radiology Diagnostic Radiology Allopathic & Osteopathic Physicians Radiology | A176854
CA |