Nickerson, Anna Marie

Nickerson, Anna Marie is an individual health care provider with primary practice located at 1330 W Ramsey St , Banning CA 92220-4477. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is her primary health care specialty. Nickerson, Anna Marie can be contacted via phone (951) 551-2473.

Contact Information

Primary practice address
1330 W Ramsey St Banning CA 92220-4477
Phone: (951) 551-2473
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X California
Other Service Providers / Peer Specialist 175T00000X MPSS-UTBZH California

Profile Details

NPI number 1336986694
LBN Legal business name Nickerson, Anna Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2024
Last updated Oct 22nd, 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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