Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 39575 | CO |
NPI | 1104895481 |
---|---|
Provider Name | Dr. Nicole L Pinkerton |
First Address | Durango, CO 81303-6826 |
Second Address | Durango, CO 81303-6826 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/03/2006 |
Last Update Date | 27/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
33638047 | (05) | CO |
H49099 | (02) |