Outten, Nicole

Outten, Nicole is an individual health care provider with primary practice located at 21297 Olean Blvd Ste A , Port Charlotte FL 33952. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Outten, Nicole can be contacted via phone (855) 979-5700.

Contact Information

Primary practice address
21297 Olean Blvd Ste A Port Charlotte FL 33952
Phone: (855) 979-5700
Fax: (855) 979-5701
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9104426 Florida

Profile Details

NPI number 1568619476
LBN Legal business name Outten, Nicole
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2008
Last updated Dec 29th, 2020 - about 6 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 1568619476 NPPES
Florida MEDICAID 001888400

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