Individual provider · Type 1 NPI

Nicollette Wales, PA-S

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

NPI number 1972468098 Active

Practice location

10200 Park Meadows Dr Unit 732
Lone Tree, CO 80124-5461

Call (801) 419-7308 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XSTUDENT (CO)

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 1972468098

Nicollette Wales, PA-S's National Provider Identifier is 1972468098, issued on Dec 20, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lone Tree, CO. The record was last updated on Dec 20, 2025.