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:
Health care specialties
Specialty | Code | License # | 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 last year |
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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