Ely, Nicole Marie

Ely, Nicole Marie is an individual health care provider with primary practice located at 237 Mulberry St , Shallotte NC 28470-4471. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ely, Nicole Marie can be contacted via phone (910) 754-8858.

Contact Information

Primary practice address
237 Mulberry St Shallotte NC 28470-4471
Phone: (910) 754-8858
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F01230844 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 11032746 Florida

Profile Details

NPI number 1134825433
LBN Legal business name Ely, Nicole Marie
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2023
Last updated Jun 3rd, 2024 - about 2 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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