Christian-Genius, Nicole S.

Christian-Genius, Nicole S. is an individual health care provider with primary practice located at 1808 Verdugo Blvd Ste 413 , Glendale CA 91208-1468. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Christian-Genius, Nicole S. can be contacted via phone (818) 658-5980.

Contact Information

Primary practice address
1808 Verdugo Blvd Ste 413 Glendale CA 91208-1468
Phone: (818) 658-5980
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X R152087 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X NMW236250 California

Profile Details

NPI number 1629370382
LBN Legal business name Christian-Genius, Nicole S.
Credentials CNM, DM
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2010
Last updated Sep 15th, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1629370382 NPPES
Maryland MEDICAID 1629370382

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