Nicolle Michelle Lande in St Paul - Physician Assistant
Nicolle Michelle Lande - NPI 1881671162
Nicolle Michelle Lande is a Physician Assistant in St Paul, Minnesota. Nicolle Michelle Lande practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Nicolle Michelle Lande is 1881671162. The last update date is 2007-07-08.
Nicolle Michelle Lande's current location address is 2550 University Avenue West, St Paul, Minnesota. You can contact this provider via phone number 6516453115 and fax number 6516452752. The mailing address for Nicolle Michelle Lande is 2550 University Avenue West, St Paul, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nicolle Michelle Lande |
|---|---|
| Address | 2550 University Avenue West, St Paul, Minnesota |
| Phone Number | 6516453115 |
| Fax Number | 6516452752 |
| Sole Proprietor | X |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1881671162 |
|---|---|
| Provider Enumeration Date | 2005-12-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2550 University Avenue West |
|---|---|
| City | St Paul |
| State | Minnesota (MN) |
| Post Code | 55114 |
| Phone Number | 6516453115 |
| Fax Number | 6516452752 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 9821 |
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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 |
|---|---|---|---|
| 486965800 | MN | -- | |
| 559K0LA | MN | BCBS OF MN |
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What is the unique 10-digit identifier code assigned to Nicolle Michelle Lande by the Centers for Medicare & Medicaid Services?
The Nicolle Michelle Lande has been issued the NPI (National Provider Identifier) 1881671162 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Nicolle Michelle Lande located?
The Nicolle Michelle Lande is located at 2550 University Avenue West, St Paul, MN 55114.
What is Nicolle Michelle Lande's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Nicolle Michelle Lande'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 Nicolle Michelle Lande receive the assignment of its 1881671162 from the Centers for Medicare & Medicaid Services?
The Nicolle Michelle Lande was issued its 1881671162 by the Centers for Medicare & Medicaid Services on 2005-12-28.
As of what date were the Nicolle Michelle Lande's details last updated?
The information pertaining to the Nicolle Michelle Lande, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY