Dortch, Nikki Rae

Dortch, Nikki Rae is an sole proprietor health care provider with primary practice located at 3030 W Dr Martin Luther King Jr Blvd , Tampa FL 33607-6308. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care. Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care is her primary health care specialty. Dortch, Nikki Rae can be contacted via phone (813) 872-2929.

Contact Information

Primary practice address
3030 W Dr Martin Luther King Jr Blvd Tampa FL 33607-6308
Phone: (813) 872-2929
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN9417152 Florida
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X APRN11009680 Florida

Profile Details

NPI number 1528520558
LBN Legal business name Dortch, Nikki Rae
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 31st, 2019
Last updated Feb 24th, 2021 - about 3 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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