Queen, Nicole
Queen, Nicole is an individual health care provider with primary practice located at 3214 E Joppa Rd , Parkville MD 21234-3307. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Queen, Nicole can be contacted via phone (443) 703-8345.Contact Information
Primary practice address
3214 E Joppa Rd
Parkville MD 21234-3307
Phone: (443) 703-8345
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent | 163WP0807X | R200798 | Maryland |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | R200798 | Maryland |
Profile Details
| NPI number | 1073238846 |
|---|---|
| LBN Legal business name | Queen, Nicole |
| Credentials | PMHNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2022 |
| Last updated | Apr 21st, 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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