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NEPHROLOGY CLINIC PC NPI 1467084939


NPI Information

NPI: 1467084939
Provider Name: NEPHROLOGY CLINIC PC

Doing Business As: THE NEPHROLOGY CLINIC

Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

CLIA Number: 06D0516000

Address:
3351 EASTBROOK DR STE 100
FORT COLLINS, CO
ZIP 80525
Phone: (970) 493-7733
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NEPHROLOGY CLINIC PC is a nephrology internal medicine in Fort Collins, CO. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. NEPHROLOGY CLINIC PC NPI is 1467084939. The provider is registered as an organization entity type.
The provider Is Doing Business As The Nephrology Clinic.

The provider's business location address is:

3351 EASTBROOK DR STE 100
FORT COLLINS, CO
ZIP 80525-744
Phone: (970) 493-7733

The provider's authorized official is Tobey J. Mikula .
The authorized official title is Practice Administrator and has the following contact phone number (970) 493-7733.

The CLIA number assigned to this NPI record is 06D0516000 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/12/2020 and was last updated on 3/21/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM2500XClinic/CenterMedical SpecialtyNo
2207RN0300XInternal MedicineNephrologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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