DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NICOLE TUCKER, PA-C

Active Sole Proprietor

NICOLE TUCKER, PA-C is a Physician Assistant healthcare provider located in LAKEWOOD, Colorado. NPI 1962243444 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · LAKEWOOD, CO

Registration Details

NPI Number
1962243444
Provider Type
Individual
Gender
Female
NPI Issued
Jun 6, 2024 (2.1726678624503 yrs)
Last Updated
Feb 10, 2025
Licenses
PA.8882 (CO)
PA.0008612 (CO)
PA.8612 (CO)
Sole Proprietor
Yes

Practice Information

Address
12596 W BAYAUD AVE STE 100
LAKEWOOD, CO, 802282035
Browse CO providers · Browse ZIP 80228
Phone
7206387500
Fax
7208125134
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant
Additional Specialty
Surgical Physician Assistant
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in LAKEWOOD, CO

Name Credential NPI
ROBERTA B KNOTT PA 1467458117
ADRIENNE R. SPERRY PA 1942273438
JANE V FLASKA PA 1982678439
BRENT M TURNER PA 1396719514
MRS. LISA J LEONARD PA 1235107533
SARA E KORNELY P.A. 1235199811
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.