Nicolet, Nathan Lee

Nicolet, Nathan Lee is an individual health care provider with primary practice located at 555 N Arlington Ave , Reno NV 89503-4723. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Nicolet, Nathan Lee can be contacted via phone (775) 786-3040.

Contact Information

Primary practice address
555 N Arlington Ave Reno NV 89503-4723
Fax: (775) 788-5216
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA10084 Nevada

Profile Details

NPI number 1861678153
LBN Legal business name Nicolet, Nathan Lee
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2008
Last updated Apr 28th, 2022 - about 4 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 1861678153 NPPES
Other 12227280 CAQH
MEDICAID 1861678153 CAQH

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