Individual provider · Type 1 NPI
Grover Nicodemus Street
Registered Nurse · Lone Tree, CO
Practice location
10240 Park Meadows Dr
Lone Tree, CO 80124-5425
Mailing address
1 Red Fox Ln
Littleton, CO 80127-5710
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN0168533 (CO) |
| Registered Nurse Primary | 163W00000X | 0168533 (CO) |
Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…
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About NPI 1831672831
Grover Nicodemus Street's National Provider Identifier is 1831672831, issued on Sep 14, 2018. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Lone Tree, CO. The record was last updated on Sep 29, 2026.