Nichol Raulerson in St Petersburg - Medical
Nichol Raulerson - NPI 1053491753
Nichol Raulerson is a Medical in St Petersburg, Florida. Nichol Raulerson practices all healthcare services and medical treatments related to Medical. The NPI Number for Nichol Raulerson is 1053491753. The last update date is 2023-04-13.
Nichol Raulerson's current location address is 620 10th St N Ste 3a, St Petersburg, Florida. You can contact this provider via phone number 7278247105 and fax number 7278247125. The mailing address for Nichol Raulerson is 620 10th St N Ste 3a, St Petersburg, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nichol Raulerson |
|---|---|
| Address | 620 10th St N Ste 3a, St Petersburg, Florida |
| Phone Number | 7278247105 |
| Fax Number | 7278247125 |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1053491753 |
|---|---|
| Provider Enumeration Date | 2006-10-17 |
| Last Updated Date | 2023-04-13 |
Provider Mailing Address Detail
| Address | 620 10th St N Ste 3a |
|---|---|
| City | St Petersburg |
| State | Florida (FL) |
| Post Code | 337051407 |
| Phone Number | 7278247105 |
| Fax Number | 7278247125 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA9103943 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10042400 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Nichol Raulerson by the Centers for Medicare & Medicaid Services?
The Nichol Raulerson has been assigned the NPI (National Provider Identifier) 1053491753 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Nichol Raulerson is located?
The Nichol Raulerson is situated at the following address: 620 10Th St N Ste 3A, St Petersburg, FL, 337051407.
What is Nichol Raulerson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Nichol Raulerson is Medical, and the taxonomy code that categorizes this field of expertise is 363Am0700X.
On what date did the Nichol Raulerson receive the assignment of its 1053491753 from the Centers for Medicare & Medicaid Services?
The Nichol Raulerson was issued its 1053491753 by the Centers for Medicare & Medicaid Services on 2006-10-17.
As of what date was the information pertaining to Nichol Raulerson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Nichol Raulerson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-04-13.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH