Nicolas, Vanessa Ann

Nicolas, Vanessa Ann is an individual health care provider with primary practice located at 1379 W Park Western Dr #262, San Pedro CA 90732-2300. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Nicolas, Vanessa Ann can be contacted via phone (310) 403-4415.

Contact Information

Primary practice address
1379 W Park Western Dr #262 San Pedro CA 90732-2300
Phone: (310) 403-4415
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 724 California

Profile Details

NPI number 1053484428
LBN Legal business name Nicolas, Vanessa Ann
Credentials CNM, RN
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated Jul 8th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1053484428 NPPES
California Other 724 CNM
California Other COAFS-06-387208 CNM
California Other 356899 CNM
California Other 1-043649 CNM

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