Provider Demographics
NPI:1427358514
Name:NIX, NATALIE ANN (PHARM D)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:ANN
Last Name:NIX
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1999 PENNSYLVANIA ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-1314
Mailing Address - Country:US
Mailing Address - Phone:303-974-5424
Mailing Address - Fax:720-335-6065
Practice Address - Street 1:1999 PENNSYLVANIA ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-1314
Practice Address - Country:US
Practice Address - Phone:303-974-5424
Practice Address - Fax:720-335-6065
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-24
Last Update Date:2014-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO18227183500000X
IN26022535A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist