Provider Demographics
NPI:1699735274
Name:MCDERMOTT, NANCY J (MD)
Entity type:Individual
Prefix:DR
First Name:NANCY
Middle Name:J
Last Name:MCDERMOTT
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3300 S PARKER RD STE 404
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-3529
Mailing Address - Country:US
Mailing Address - Phone:720-974-7149
Mailing Address - Fax:720-974-7175
Practice Address - Street 1:9397 CROWN CREST BLVD STE 330
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138-8788
Practice Address - Country:US
Practice Address - Phone:303-699-6200
Practice Address - Fax:303-805-7034
Is Sole Proprietor?:No
Enumeration Date:2006-03-27
Last Update Date:2022-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME0051269208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO35534826Medicaid
D21171Medicare UPIN