Nicole Moundros in Lansing - Physician Assistant

Nicole Moundros - NPI 1770614265

Nicole Moundros is a Physician Assistant in Lansing, Michigan. Nicole Moundros practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Nicole Moundros is 1770614265. The last update date is 2008-03-14.

Nicole Moundros's current location address is 1215 E Michigan Ave, Lansing, Michigan. You can contact this provider via phone number 5173642223. The mailing address for Nicole Moundros is 1215 E Michigan Ave, Lansing, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Nicole Moundros
Address 1215 E Michigan Ave, Lansing, Michigan
Phone Number 5173642223
Fax Number
Sole Proprietor N
Credentials PAC

NPI Number Detail

NPI Number 1770614265
Provider Enumeration Date 2007-03-08
Last Updated Date 2008-03-14

Provider Mailing Address Detail

Address 1215 E Michigan Ave
City Lansing
State Michigan (MI)
Post Code 489121811
Phone Number 5173642223
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 4593
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 Moundros

What is the unique 10-digit identifier code issued to Nicole Moundros by the Centers for Medicare & Medicaid Services?

The Nicole Moundros has been assigned the NPI (National Provider Identifier) 1770614265 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

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

The Nicole Moundros is situated at the following address: 1215 E Michigan Ave, Lansing, MI, 489121811.

What is Nicole Moundros's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Nicole Moundros is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.

On what date did Nicole Moundros receive its 1770614265 assignment from the Centers for Medicare & Medicaid Services?

The Nicole Moundros was assigned its 1770614265 on 2007-03-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the Nicole Moundros's information last updated?

The Nicole Moundros's information was last updated on 2008-03-14.

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