Provider Demographics
NPI:1154413714
Name:DROLET, NITA MARIE (RN)
Entity type:Individual
Prefix:
First Name:NITA
Middle Name:MARIE
Last Name:DROLET
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:NITA
Other - Middle Name:MARIE
Other - Last Name:DROLET-JOHNSON
Other - Suffix:II
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:34940 LOWER ASPEN LN
Mailing Address - Street 2:
Mailing Address - City:PINE
Mailing Address - State:CO
Mailing Address - Zip Code:80470-7514
Mailing Address - Country:US
Mailing Address - Phone:303-838-0853
Mailing Address - Fax:
Practice Address - Street 1:260 S KIPLING ST
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80226-1086
Practice Address - Country:US
Practice Address - Phone:303-838-7552
Practice Address - Fax:303-838-3781
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-29
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO100236163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO10339779Medicaid
CO100236OtherREGISTERED NURSE LICENSE