Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207T00000X | Neurosurgeon | APN.0993215-NP | CO |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | APN.0993215-NP | CO |
NPI | 1063956381 |
---|---|
Provider Name | Nicholas Maurio |
First Address | Loveland, CO 80538-9071 |
Second Address | Colorado Springs, CO 80920-7518 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/12/2016 |
Last Update Date | 21/03/2019 |