Individual provider · Type 1 NPI

Nicole Antenucci

Student in an Organized Health Care Education/Training Program · Denver, CO

NPI number 1184407561 Active

Practice location

2450 S Vine St
Denver, CO 80210-5264

Call (303) 871-3626 Map

Mailing address

921 16th St Apt C
Santa Monica, CA 90403-3285

Other practice locations

  • 1339 20th St, Santa Monica, CA 90404-2033 · (310) 829-8921

Specialties and licenses

TaxonomyCodeLicense
Psychologist 103T00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1184407561

Nicole Antenucci's National Provider Identifier is 1184407561, issued on Aug 17, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Denver, CO. The record was last updated on Sep 17, 2025.