Basic Information
| Provider Information | |||||||||
| NPI: | 1285655191 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SOCKOL-GUEST | ||||||||
| FirstName: | FELICIA | ||||||||
| MiddleName: | ANNA | ||||||||
| NamePrefix: | |||||||||
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| Credential: | F. N. P. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 345 MAXWELL AVE | ||||||||
| Address2: | |||||||||
| City: | BOULDER | ||||||||
| State: | CO | ||||||||
| PostalCode: | 803043972 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3035445783 | ||||||||
| FaxNumber: | 3034412388 | ||||||||
| Practice Location | |||||||||
| Address1: | 1000 W SOUTH BOULDER RD | ||||||||
| Address2: | SUITE 110 | ||||||||
| City: | LAFAYETTE | ||||||||
| State: | CO | ||||||||
| PostalCode: | 800262752 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3036667555 | ||||||||
| FaxNumber: | 3036661982 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/23/2006 | ||||||||
| LastUpdateDate: | 12/06/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | 119463 | CO | Y | Nursing Service Providers | Registered Nurse |
No ID Information.