Provider Demographics
NPI:1104058056
Name:DEHLINGER, NICOLA (ND)
Entity type:Individual
Prefix:DR
First Name:NICOLA
Middle Name:
Last Name:DEHLINGER
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1680 W 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81301-4912
Mailing Address - Country:US
Mailing Address - Phone:970-759-1293
Mailing Address - Fax:970-382-9494
Practice Address - Street 1:160 E 12TH ST STE 1
Practice Address - Street 2:
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81301-5261
Practice Address - Country:US
Practice Address - Phone:970-426-1684
Practice Address - Fax:970-797-1544
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-11
Last Update Date:2019-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT61938137100175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath