Provider Demographics
NPI:1366800724
Name:FATIMA, NISHAT (AUD)
Entity type:Individual
Prefix:MS
First Name:NISHAT
Middle Name:
Last Name:FATIMA
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7354 S. ALTON WAY
Mailing Address - Street 2:STE 201
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-2357
Mailing Address - Country:US
Mailing Address - Phone:303-649-2122
Mailing Address - Fax:303-649-9808
Practice Address - Street 1:7354 S. ALTON WAY
Practice Address - Street 2:STE 201
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-2357
Practice Address - Country:US
Practice Address - Phone:303-649-2122
Practice Address - Fax:303-649-9808
Is Sole Proprietor?:No
Enumeration Date:2016-02-01
Last Update Date:2016-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAUD0000730237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter