Most Relevant Information
Provider Data
| NPI Number: | 1003457276 |
| Provider Name: | NATHANIEL CIVILI |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | APN.0994776-NP |
Most Important Dates
| Enumeration Date: | 09/30/2019 |
| Last Updated: | 09/30/2019 |
Provider Practice Location
7200 S ALTON WAY STE B100
CENTENNIAL
CO
801122262
Practice Location Phone/Fax
| Phone: | 7204494110 |
| Fax: |
Provider Mailing Location
11801 NIGHT HERON DR
PARKER
CO
801344342
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |