Nicole Anderson in Iron River - Physician Assistant
Nicole Anderson - NPI 1245355049
Nicole Anderson is a Physician Assistant in Iron River, Michigan. Nicole Anderson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Nicole Anderson is 1245355049. The last update date is 2014-07-09.
Nicole Anderson's current location address is 1400 W Ice Lake Rd, Iron River, Michigan. You can contact this provider via phone number 9062656141 and fax number 9062652033. The mailing address for Nicole Anderson is 1400 W Ice Lake Rd, Iron River, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nicole Anderson |
|---|---|
| Address | 1400 W Ice Lake Rd, Iron River, Michigan |
| Phone Number | 9062656141 |
| Fax Number | 9062652033 |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1245355049 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2014-07-09 |
Provider Mailing Address Detail
| Address | 1400 W Ice Lake Rd |
|---|---|
| City | Iron River |
| State | Michigan (MI) |
| Post Code | 499359526 |
| Phone Number | 9062656141 |
| Fax Number | 9062652033 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 5601003919 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 41951600 | WI | -- | |
| 700C610000 | MI | BCBS-MI |
Post Comment/ Review Below
What is the unique identification code assigned to Nicole Anderson by the Centers for Medicare & Medicaid Services?
The Nicole Anderson has been issued the NPI (National Provider Identifier) 1245355049. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Nicole Anderson?
The Nicole Anderson is physically situated at 1400 W Ice Lake Rd, in the city of Iron River, state of MI, with the postal code 499359526.
What is Nicole Anderson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Nicole Anderson is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date did the Nicole Anderson receive the assignment of its 1245355049 from the Centers for Medicare & Medicaid Services?
The Nicole Anderson was issued its 1245355049 by the Centers for Medicare & Medicaid Services on 2007-03-20.
When was the information pertaining to Nicole Anderson most recently updated or revised?
The details related to Nicole Anderson, including its address, specialty, and other relevant information, were last updated or revised on 2014-07-09.
NPI Number: 1467434399
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