Perry Duane Nichols in Shreveport - Nurse Practitioner
Perry Duane Nichols - NPI 1073526141
Perry Duane Nichols is a Nurse Practitioner in Shreveport, Louisiana. Perry Duane Nichols practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Perry Duane Nichols is 1073526141. The last update date is 2007-07-08.
Perry Duane Nichols's current location address is 510 E Stoner Ave, Shreveport, Louisiana. You can contact this provider via phone number 3182218411 and fax number 3184246136. The mailing address for Perry Duane Nichols is 510 E Stoner Ave, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Perry Duane Nichols |
|---|---|
| Address | 510 E Stoner Ave, Shreveport, Louisiana |
| Phone Number | 3182218411 |
| Fax Number | 3184246136 |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1073526141 |
|---|---|
| Provider Enumeration Date | 2006-08-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 510 E Stoner Ave |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711014243 |
| Phone Number | 3182218411 |
| Fax Number | 3184246136 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | RN076397-AP0 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the unique 10-digit identification code assigned to Perry Duane Nichols by the Centers for Medicare & Medicaid Services?
The Perry Duane Nichols has been issued the NPI (National Provider Identifier) 1073526141, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Perry Duane Nichols's facilities are situated?
The facilities of Perry Duane Nichols are physically located at the following address: 510 E Stoner Ave, Shreveport, LA, 711014243.
What is the area of specialization for Perry Duane Nichols, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Perry Duane Nichols is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of expertise is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1073526141 to Perry Duane Nichols?
The Centers for Medicare & Medicaid Services originally issued the 1073526141 to Perry Duane Nichols on 2006-08-13.
As of what date were the Perry Duane Nichols's details last updated?
The information pertaining to the Perry Duane Nichols, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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