Damico, Nicole Kemp

Damico, Nicole Kemp is an individual health care provider with primary practice located at 10800 Midlothian Tpke Suite 265, Richmond VA 23235-4724. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Damico, Nicole Kemp can be contacted via phone (804) 594-2622.

Contact Information

Primary practice address
10800 Midlothian Tpke Suite 265 Richmond VA 23235-4724
Phone: (804) 594-2622
Fax: (804) 594-0915
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 0024164213 Virginia

Profile Details

NPI number 1982608840
LBN Legal business name Damico, Nicole Kemp
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Jan 8th, 2015 - about 9 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 1982608840 NPPES
Virginia MEDICAID 008939039

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