Depadova, Nicole Rose

Depadova, Nicole Rose is an sole proprietor health care provider with primary practice located at 35 Beaverson Blvd Ste 9B , Brick NJ 08723-7862. 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. Depadova, Nicole Rose can be contacted via phone (817) 300-1934.

Contact Information

Primary practice address
35 Beaverson Blvd Ste 9B Brick NJ 08723-7862
Phone: (817) 300-1934
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 35MP00804400 New Jersey

Profile Details

NPI number 1568246247
LBN Legal business name Depadova, Nicole Rose
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 23rd, 2023
Last updated Aug 29th, 2023 - about 3 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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