Fedack, Nickolas

Fedack, Nickolas is an individual health care provider with primary practice located at 5005 N. Piedras St. , El Paso TX 79920-5001. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Nursing Service Providers / Critical Care Medicine. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Fedack, Nickolas can be contacted via phone (915) 742-1970.

Contact Information

Primary practice address
5005 N. Piedras St. El Paso TX 79920-5001
Phone: (915) 742-1970
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 1087313 Texas
Nursing Service Providers / Critical Care Medicine 163WC0200X RN.1638551 Colorado

Profile Details

NPI number 1124618061
LBN Legal business name Fedack, Nickolas
Credentials DNP, CRNA
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2021
Last updated Jul 19th, 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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