Search › Colorado › 124Q00000X
Trina Nicksic
NPI 1457710220 · on the registry since 2016
Practice
- Address
- 1830 Laporte Ave
Fort Collins, CO 80521 - Phone
- (970) 416-6240
- Fax
- (970) 472-2369
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 124Q00000X
124Q00000X
- Also registered as
- 124Q00000X
- Licence states on file
- CO, WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-02-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado