Most Relevant Information
Provider Data
| NPI Number: | 1003233701 |
| Provider Name: | NICHOLAS BROWN |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/20/2014 |
| Last Updated: | 07/08/2015 |
Provider Practice Location
235 SOUTH RIDGE ST., SUITE 2B
BRECKENRIDGE
CO
80424
Practice Location Phone/Fax
| Phone: | 4143012057 |
| Fax: |
Provider Mailing Location
PO BOX 1817
BRECKENRIDGE
CO
804241817
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |