Donna Nickles in Paramus - Specialist

Donna Nickles - NPI 1063400547

Donna Nickles is a Specialist in Paramus, New Jersey. Donna Nickles practices all healthcare services and medical treatments related to Specialist. The NPI Number for Donna Nickles is 1063400547. The last update date is 2017-04-25.

Donna Nickles's current location address is 80 Eisenhower Dr, Paramus, New Jersey. You can contact this provider via phone number 2018432800 and fax number 9739390273. The mailing address for Donna Nickles is 80 Eisenhower Dr, Paramus, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Donna Nickles
Address 80 Eisenhower Dr, Paramus, New Jersey
Phone Number 2018432800
Fax Number 9739390273
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1063400547
Provider Enumeration Date 2005-10-10
Last Updated Date 2017-04-25

Provider Mailing Address Detail

Address 80 Eisenhower Dr
City Paramus
State New Jersey (NJ)
Post Code 76521401
Phone Number 2018432800
Fax Number 9739390273

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 25MB03792500
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2807666 NJ AETNA HMO #
39F312 NJ EMPIRE BCBS #
160055692 NJ RAILROAD MCR #
1K4890 NJ HEALTHNET #
P2631203 NJ OXFORD #
105583000 NJ AMERIHEALTH #
4252756 NJ AETNA PPO #

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FAQs about Donna Nickles

What is the unique provider identifier assigned to Donna Nickles?

The Donna Nickles has been issued the NPI (National Provider Identifier) 1063400547 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Donna Nickles is physically located?

The Donna Nickles is physically situated at the following address: 80 Eisenhower Dr, Paramus, NJ, 76521401.

What is Donna Nickles's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Donna Nickles is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.

On what date did the Donna Nickles receive the assignment of its 1063400547 from the Centers for Medicare & Medicaid Services?

The Donna Nickles was issued its 1063400547 by the Centers for Medicare & Medicaid Services on 2005-10-10.

As of what date were the details pertaining to Donna Nickles last refreshed?

The information related to the Donna Nickles, including its address, specialty, and other relevant details, was last updated on 2017-04-25.

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