Provider Demographics
NPI:1053718999
Name:DILGARDE, NOELLE (FNP)
Entity type:Individual
Prefix:
First Name:NOELLE
Middle Name:
Last Name:DILGARDE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11275 E MISSISSIPPI AVE
Mailing Address - Street 2:SUITE 2-S-3
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-3263
Mailing Address - Country:US
Mailing Address - Phone:303-364-1422
Mailing Address - Fax:303-364-1454
Practice Address - Street 1:11275 E MISSISSIPPI AVE
Practice Address - Street 2:SUITE 2-S-3
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-3263
Practice Address - Country:US
Practice Address - Phone:303-364-1422
Practice Address - Fax:303-364-1454
Is Sole Proprietor?:No
Enumeration Date:2014-11-20
Last Update Date:2014-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN0991522363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily