Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Heather Ponicsan

Individual provider Registered Nurse · NPI 1427428168

Heather Ponicsan is a Registered Nurse in Boulder, Colorado. Licensed in Colorado. Registered with an NPI since 2015.

Licensed in
CO
In the registry since
2015

Practice location Address checks out

1333 Iris Ave
Boulder, CO 80304-2226 Not confirmed with CMS for 11 years — call before visiting
Phone: (303) 443-8500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 1629259 (CO)

Record details

NPI number1427428168
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 6, 2015
Last updated in NPPESOctober 6, 2015

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