SearchColorado363A00000X

Nicole Tucker, PA-C

NPI 1962243444 · on the registry since 2024 · sole proprietor

Practice

Address
12596 W Bayaud Ave Ste 100
Lakewood, CO 80228
Phone
(720) 638-7500
Fax
(720) 812-5134
Organisation at this address
Regeneration, Llc
Colorado Pain Practice, Pllc
Colorado Pain Practice, Pllc
Portercare Adventist Health System
Portercare Adventist Health System
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

Additional practice sites

  • 11750 W 2nd Pl Ste 255, Lakewood, CO
  • 2352 Meadows Blvd Ste 300, Castle Rock, CO

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363A00000X
363A00000X
363AS0400X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-02-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado