Nicole W. Keller in Fort Myers - Physician Assistant
Nicole W. Keller - NPI 1801932009
Nicole W. Keller is a Physician Assistant in Fort Myers, Florida. Nicole W. Keller practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Nicole W. Keller is 1801932009. The last update date is 2017-02-07.
Nicole W. Keller's current location address is 39 Barkley Cir, Fort Myers, Florida. You can contact this provider via phone number 2399361616 and fax number 2399360837. The mailing address for Nicole W. Keller is 39 Barkley Cir, Fort Myers, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Nicole W. Keller |
---|---|
Address | 39 Barkley Cir, Fort Myers, Florida |
Phone Number | 2399361616 |
Fax Number | 2399360837 |
Sole Proprietor | N |
Credentials | PA |
NPI Number Detail
NPI Number | 1801932009 |
---|---|
Provider Enumeration Date | 2007-01-29 |
Last Updated Date | 2017-02-07 |
Provider Mailing Address Detail
Address | 39 Barkley Cir |
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City | Fort Myers |
State | Florida (FL) |
Post Code | 3390775310 |
Phone Number | 2399361616 |
Fax Number | 2399360837 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | PA9107690 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
10911000 | FL | -- | |
5923925 | FL | AETNA | |
P01304910 | FL | RAILROAD MCR | |
1026853 | FL | STAYWELL (MEDICAID) AND WELLCA | |
398591 | FL | AVMED | |
Y0M11 | FL | BCBS | |
P1023102 | FL | FREEDOM | |
P961366 | FL | OPTIMUM |
Post Comment/ Review Below
What is the unique identifier code issued to Nicole W. Keller by the Centers for Medicare & Medicaid Services (CMS)?
The Nicole W. Keller has been assigned the NPI (National Provider Identifier) 1801932009. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Nicole W. Keller's facilities are geographically located?
The facilities of Nicole W. Keller are physically situated at the following location: 39 Barkley Cir, Fort Myers, FL, 3390775310.
What is Nicole W. Keller's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Nicole W. Keller's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1801932009 to Nicole W. Keller?
The Centers for Medicare & Medicaid Services originally issued the 1801932009 to Nicole W. Keller on 2007-01-29.
As of what date was the information pertaining to Nicole W. Keller, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Nicole W. Keller, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2017-02-07.
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