Antenucci, Nicole Marie

Antenucci, Nicole Marie is an individual health care provider with primary practice located at 1 Jarrett White Rd Tamc, Tripler Army Medical Center HI 96859-5001. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Antenucci, Nicole Marie can be contacted via phone (808) 433-7699.

Contact Information

Primary practice address
1 Jarrett White Rd Tamc Tripler Army Medical Center HI 96859-5001
Phone: (808) 433-7699
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9109691 Florida
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA052460 Pennsylvania

Profile Details

NPI number 1972739852
LBN Legal business name Antenucci, Nicole Marie
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2009
Last updated Jan 6th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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