Provider Demographics
NPI:1063956381
Name:MAURIO, NICHOLAS (NP)
Entity type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:
Last Name:MAURIO
Suffix:
Gender:M
Credentials:NP
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Mailing Address - Street 1:2695 ROCKY MOUNTAIN AVE STE 150
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-9071
Mailing Address - Country:US
Mailing Address - Phone:970-624-4034
Mailing Address - Fax:970-490-4347
Practice Address - Street 1:8540 SCARBOROUGH DR STE 100
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-7518
Practice Address - Country:US
Practice Address - Phone:719-955-4200
Practice Address - Fax:719-365-7667
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
COAPN.0993215-NP207T00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery