Elizondo, Nicolas Alfonso

Elizondo, Nicolas Alfonso is an individual health care provider with primary practice located at 3110 Commercial Ave Ste 105 , Anacortes WA 98221-2762. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Elizondo, Nicolas Alfonso can be contacted via phone (360) 336-3026.

Contact Information

Primary practice address
3110 Commercial Ave Ste 105 Anacortes WA 98221-2762
Phone: (360) 336-3026
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA12784 Texas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA61067492 Washington

Profile Details

NPI number 1518420314
LBN Legal business name Elizondo, Nicolas Alfonso
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2019
Last updated Dec 29th, 2020 - about 5 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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