Vallandigham, Nicolette D

Vallandigham, Nicolette D is an individual health care provider with primary practice located at 1001 West St Carthage Area Hospital, Carthage NY 13619-9703. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Vallandigham, Nicolette D can be contacted via phone (315) 493-3100.

Contact Information

Primary practice address
1001 West St Carthage Area Hospital Carthage NY 13619-9703
Phone: (315) 493-3100
Fax: (315) 493-3113
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X F001048 New York
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X R186685 Maryland

Profile Details

NPI number 1417044116
LBN Legal business name Vallandigham, Nicolette D
Credentials CNM MSN
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2006
Last updated May 16th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417044116 NPPES
New York MEDICAID 00310852

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