Fogt, Nicole Elizabeth

Fogt, Nicole Elizabeth is an individual health care provider with primary practice located at 1200 6Th Ave N Centracare Clinic, Saint Cloud MN 56303-2735. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Fogt, Nicole Elizabeth can be contacted via phone (320) 656-7020.

Contact Information

Primary practice address
1200 6Th Ave N Centracare Clinic Saint Cloud MN 56303-2735
Phone: (320) 656-7020
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 11514 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 11514 Minnesota

Profile Details

NPI number 1770909749
LBN Legal business name Fogt, Nicole Elizabeth
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2014
Last updated Apr 1st, 2014 - about 12 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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