Nicole L Blaauw in Marquette - Physician Assistant

Nicole L Blaauw - NPI 1205811767

Nicole L Blaauw is a Physician Assistant in Marquette, Michigan. Nicole L Blaauw practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Nicole L Blaauw is 1205811767. The last update date is 2012-11-02.

Nicole L Blaauw's current location address is 1414 W Fair Ave, Marquette, Michigan. You can contact this provider via phone number 9062253880 and fax number 9062254523. The mailing address for Nicole L Blaauw is 1414 W Fair Ave, Marquette, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Nicole L Blaauw
Address 1414 W Fair Ave, Marquette, Michigan
Phone Number 9062253880
Fax Number 9062254523
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1205811767
Provider Enumeration Date 2005-12-07
Last Updated Date 2012-11-02

Provider Mailing Address Detail

Address 1414 W Fair Ave
City Marquette
State Michigan (MI)
Post Code 498552675
Phone Number 9062253880
Fax Number 9062254523

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 5601004570
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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FAQs about Nicole L Blaauw

What is the unique identifier code issued to Nicole L Blaauw by the Centers for Medicare & Medicaid Services (CMS)?

The Nicole L Blaauw has been assigned the NPI (National Provider Identifier) 1205811767. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Nicole L Blaauw is located?

The Nicole L Blaauw is situated at the following address: 1414 W Fair Ave, Marquette, MI, 498552675.

What is Nicole L Blaauw's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Nicole L Blaauw is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.

When did the Nicole L Blaauw receive its 1205811767?

The Nicole L Blaauw was issued its 1205811767 on 2005-12-07, which is the date when the organization was assigned this unique identifier.

As of what date were the details pertaining to Nicole L Blaauw last refreshed?

The information related to the Nicole L Blaauw, including its address, specialty, and other relevant details, was last updated on 2012-11-02.

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