Nichole Virgo in Oak Creek - Interventional Pain Medicine

Nichole Virgo - NPI 1457459869

Nichole Virgo is a Interventional Pain Medicine in Oak Creek, Wisconsin. Nichole Virgo practices all healthcare services and medical treatments related to Interventional Pain Medicine. The NPI Number for Nichole Virgo is 1457459869. The last update date is 2018-05-02.

Nichole Virgo's current location address is 1225 W Pine Creek Ct, Oak Creek, Wisconsin. You can contact this provider via phone number 4147455158. The mailing address for Nichole Virgo is 1225 W Pine Creek Ct, Oak Creek, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Nichole Virgo
Address 1225 W Pine Creek Ct, Oak Creek, Wisconsin
Phone Number 4147455158
Fax Number
Sole Proprietor N
Credentials APNP

NPI Number Detail

NPI Number 1457459869
Provider Enumeration Date 2006-09-20
Last Updated Date 2018-05-02

Provider Mailing Address Detail

Address 1225 W Pine Creek Ct
City Oak Creek
State Wisconsin (WI)
Post Code 531541833
Phone Number 4147455158
Fax Number

Provider's Primary Taxonomy Detail

Speciality Interventional Pain Medicine
Taxonomy 208Vp0014X
Licence No 148802
Definition:
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable p

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
K400388476 WI MEDICARE
V620-6377-9730- WI WI DRIVERS LICENSE #

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FAQs about Nichole Virgo

What is the unique identifier code issued to Nichole Virgo by the Centers for Medicare & Medicaid Services?

The Nichole Virgo has been assigned the NPI (National Provider Identifier) 1457459869. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Nichole Virgo is located?

The Nichole Virgo is situated at the following address: 1225 W Pine Creek Ct, Oak Creek, WI, 531541833.

What is Nichole Virgo's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Nichole Virgo is Interventional Pain Medicine, and the taxonomy code that categorizes this field of expertise is 208Vp0014X.

On what date did the Nichole Virgo receive its 1457459869 assignment from the Centers for Medicare & Medicaid Services?

The Nichole Virgo was assigned its 1457459869 by the Centers for Medicare & Medicaid Services on 2006-09-20.

As of what date was the information regarding Nichole Virgo, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Nichole Virgo, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-05-02.

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