Medina, Nicole Elizabeth

Medina, Nicole Elizabeth is an individual health care provider with primary practice located at 615 Shipyard Blvd , Wilmington NC 28412-6431. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Medina, Nicole Elizabeth can be contacted via phone (910) 343-0145.

Contact Information

Primary practice address
615 Shipyard Blvd Wilmington NC 28412-6431
Phone: (910) 343-0145
Fax: (910) 341-5779
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X A18422 North Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X A18422 North Carolina

Profile Details

NPI number 1841998713
LBN Legal business name Medina, Nicole Elizabeth
Credentials LCMHCA
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2023
Last updated Feb 28th, 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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