Stall, Nicole Marie
Stall, Nicole Marie is an individual health care provider with primary practice located at 3301 Highway 71 Unit 1&4 , Spirit Lake IA 51360-7634. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Stall, Nicole Marie can be contacted via phone (712) 332-6001.Contact Information
Primary practice address
3301 Highway 71 Unit 1&4
Spirit Lake IA 51360-7634
Phone: (712) 332-6001
Fax: (712) 332-6010
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | A110196 | Iowa |
Profile Details
| NPI number | 1346572518 |
|---|---|
| LBN Legal business name | Stall, Nicole Marie |
| Credentials | NP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 12th, 2010 |
| Last updated | Apr 20th, 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 | 1346572518 | NPPES |
| Iowa | Other | A110196 | LICENSE |
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