Anvinson, Nicole

Anvinson, Nicole is an individual health care provider with primary practice located at 2424 32Nd Ave S Ste 202, Grand Forks ND 58201-6545. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Anvinson, Nicole can be contacted via phone (701) 746-6336.

Contact Information

Primary practice address
2424 32Nd Ave S Ste 202 Grand Forks ND 58201-6545
Phone: (701) 746-6336
Fax: (701) 772-1030
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9504 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PAC0232 North Dakota

Profile Details

NPI number 1518923994
LBN Legal business name Anvinson, Nicole
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Jan 23rd, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518923994 NPPES
North Dakota MEDICAID 1453358
North Dakota Other 18686
North Dakota MEDICAID 243620500
North Dakota Other 80D90AV

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