Nicole M Earl in Grand Rapids - Physician Assistant
Nicole M Earl - NPI 1306985833
Nicole M Earl is a Physician Assistant in Grand Rapids, Michigan. Nicole M Earl practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Nicole M Earl is 1306985833. The last update date is 2019-05-15.
Nicole M Earl's current location address is 2849 Michigan St Ne Ste 102, Grand Rapids, Michigan. You can contact this provider via phone number 6162856450 and fax number 6162856455. The mailing address for Nicole M Earl is 2849 Michigan St Ne Ste 102, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nicole M Earl |
|---|---|
| Address | 2849 Michigan St Ne Ste 102, Grand Rapids, Michigan |
| Phone Number | 6162856450 |
| Fax Number | 6162856455 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1306985833 |
|---|---|
| Provider Enumeration Date | 2007-02-05 |
| Last Updated Date | 2019-05-15 |
Provider Mailing Address Detail
| Address | 2849 Michigan St Ne Ste 102 |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495061216 |
| Phone Number | 6162856450 |
| Fax Number | 6162856455 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 5601004452 |
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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 |
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What is the unique 10-digit identifier code assigned to Nicole M Earl by the Centers for Medicare & Medicaid Services?
The Nicole M Earl has been issued the NPI (National Provider Identifier) 1306985833 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Nicole M Earl's physical address?
The Nicole M Earl is physically located at 2849 Michigan St Ne Ste 102, in the city of Grand Rapids, MI, with the postal code 495061216.
What is the area of specialization for Nicole M Earl, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Nicole M Earl is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date did Nicole M Earl receive its 1306985833 assignment from the Centers for Medicare & Medicaid Services?
The Nicole M Earl was assigned its 1306985833 on 2007-02-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Nicole M Earl's information last updated?
The Nicole M Earl's information was last updated on 2019-05-15.