NPI 1063695013 · live from the CMS NPI Registry
Tyler Joseph Alicks, APRN
Nurse Practitioner, Adult Health in Denver, CO. National Provider Identifier 1063695013, active.
NPI record
| NPI | 1063695013 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Adult Health 363LA2200X |
| Practice location | 1633 Fillmore St Ste Gl1, Denver, CO 80206 |
| Practice phone | 303-953-6600 |
| Enumerated | December 13, 2007 |
| Last updated | February 5, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family | 363LF0000X | 3259 (SC) |
| Nurse Practitioner, Family | 363LF0000X | LB-0000216 (DE) |
| Nurse Practitioner, Adult Health primary | 363LA2200X | APN.0990909-NP (CO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.