Provider Demographics
NPI:1992547913
Name:FIRST, NINA
Entity type:Individual
Prefix:
First Name:NINA
Middle Name:
Last Name:FIRST
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:SAWYER
Other - Middle Name:
Other - Last Name:FIRST
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2036 CANYON BLVD APT 6A
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80302-4437
Mailing Address - Country:US
Mailing Address - Phone:717-608-8929
Mailing Address - Fax:
Practice Address - Street 1:190 E 9TH AVE STE 290
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-2744
Practice Address - Country:US
Practice Address - Phone:717-608-8929
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-10
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor