Grande, Nicholas J

Grande, Nicholas J is an individual health care provider with primary practice located at 1227 E Rusholme St , Davenport IA 52803-2459. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Grande, Nicholas J can be contacted via phone (563) 421-1000.

Contact Information

Primary practice address
1227 E Rusholme St Davenport IA 52803-2459
Phone: (563) 421-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X

Profile Details

NPI number 1316085756
LBN Legal business name Grande, Nicholas J
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2007
Last updated Feb 16th, 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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