NPI 1245961341

Nicole Modesitt, BCN

Practitioner Other Technician Centennial, CO

Practice location

Address: 7200 S Alton Way STE A320, Centennial, CO 80112-2254
Phone: (720) 428-8312
Fax: (720) 600-6946

Registered specialties (2)

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X Licence E6517 (CO)

Other Technician, Other providers in Colorado →

Health & Wellness Coach

Other Service Providers Taxonomy 171400000X

Other Health & Wellness Coach providers in Colorado →

Registry record

NPI: 1245961341
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Jun 2022
Record last updated: 20 Jun 2022

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.