Nathan Lee Nicolet is a Surgical in Reno, Nevada. Nathan Lee Nicolet practices all healthcare services and medical treatments related to Surgical. The NPI Number for Nathan Lee Nicolet is 1861678153. The last update date is 2022-04-28.
Nathan Lee Nicolet's current location address is 555 N Arlington Ave, Reno, Nevada. You can contact this provider via phone number 7757863040 and fax number 7757861887. The mailing address for Nathan Lee Nicolet is 555 N Arlington Ave, Reno, Nevada. To know further, please read the information below!
Provider Profile Detail
Provider Name | Nathan Lee Nicolet |
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Address | 555 N Arlington Ave, Reno, Nevada |
Phone Number | 7757863040 |
Fax Number | 7757861887 |
Sole Proprietor | N |
Credentials | P.A.-C |
NPI Number Detail
NPI Number | 1861678153 |
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Provider Enumeration Date | 2008-01-16 |
Last Updated Date | 2022-04-28 |
Provider Mailing Address Detail
Address | 555 N Arlington Ave |
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City | Reno |
State | Nevada (NV) |
Post Code | 895034723 |
Phone Number | 7757863040 |
Fax Number | 7757861887 |
Provider's Primary Taxonomy Detail
Speciality | Surgical |
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Taxonomy | 363As0400X |
Licence No | PA10084 |
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
12227280 | CAQH | ||
1861678153 | NV | -- |
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What is the Nathan Lee Nicolet's 1861678153?
The Nathan Lee Nicolet's NPI (National Provider Identifier) Number is 1861678153. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Nathan Lee Nicolet?
The Nathan Lee Nicolet is physically situated at 555 N Arlington Ave, in the city of Reno, state of NV, with the postal code 895034723.
What is Nathan Lee Nicolet'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 Nathan Lee Nicolet is Surgical, and the taxonomy classification code that categorizes this area of expertise is 363As0400X.
On what date did the Nathan Lee Nicolet receive the assignment of its 1861678153 from the Centers for Medicare & Medicaid Services?
The Nathan Lee Nicolet was issued its 1861678153 by the Centers for Medicare & Medicaid Services on 2008-01-16.
As of what date were the Nathan Lee Nicolet's details last updated?
The information pertaining to the Nathan Lee Nicolet, including its address, specialty, and other details, was most recently updated on 2022-04-28.
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