Thude, Nicolette
Thude, Nicolette is an sole proprietor health care provider with primary practice located at 1651 George Bell Cir Ste 900, Anchorage AK 99515-3955. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Thude, Nicolette can be contacted via phone (907) 345-7082.Contact Information
Primary practice address
1651 George Bell Cir Ste 900
Anchorage AK 99515-3955
Phone: (907) 345-7082
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AK429 | Alaska |
Profile Details
| NPI number | 1013901479 |
|---|---|
| LBN Legal business name | Thude, Nicolette |
| Credentials | Adult Nurse Practitioner (ANP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2005 |
| Last updated | Jan 8th, 2013 - about 13 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 | 1013901479 | NPPES |
| Other | 5502254 | AETNA | |
| MEDICAID | NP04292 | AETNA |
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