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
Phone: (775) 786-3040
Fax: (775) 788-5216
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861678153 | NPPES |
| Other | 12227280 | CAQH | |
| MEDICAID | 1861678153 | CAQH |
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