NPI 1083127104

Nicole Marie Havel, ATC

Practitioner Sports Medicine (Preventive Medicine) Physician Denver, CO

Practice location

Address: 2240 Buchtel Blvd, Denver, CO 80210-3447
Phone: (847) 494-6409
Mailing address: 203 Eric Ave, Mt Prospect, IL 60056-2690

Registered specialties

Sports Medicine (Preventive Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083S0010X Licence 2000029048 (IA)

Other Preventive Medicine providers in Colorado →

Registry record

NPI: 1083127104
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Nov 2017
Record last updated: 11 Nov 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.