Clements, Nicole Whitman

Clements, Nicole Whitman is an individual health care provider with primary practice located at 301 Unser Blvd Nw , Albuquerque NM 87121. 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. Clements, Nicole Whitman can be contacted via phone (505) 925-4126.

Contact Information

Primary practice address
301 Unser Blvd Nw Albuquerque NM 87121
Phone: (505) 925-4126
Fax: (505) 925-4721
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Texas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA2019-0003 New Mexico

Profile Details

NPI number 1720590284
LBN Legal business name Clements, Nicole Whitman
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2017
Last updated Feb 13th, 2019 - about 7 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 1720590284 NPPES
Texas Other TEMPORARY TEXAS PHYSICIAN ASSISTANT BOARD

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