Halverson, Nichol Suzanne

Halverson, Nichol Suzanne is an individual health care provider with primary practice located at 625 9Th Ave Ste 210 , Longview WA 98632-2465. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Halverson, Nichol Suzanne can be contacted via phone (360) 501-3400.

Contact Information

Primary practice address
625 9Th Ave Ste 210 Longview WA 98632-2465
Phone: (360) 501-3400
Fax: (360) 423-6862
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP 60538584 Washington
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP60538584 Washington

Profile Details

NPI number 1033540919
LBN Legal business name Halverson, Nichol Suzanne
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 3rd, 2013
Last updated Jun 23rd, 2015 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1033540919 NPPES
Washington MEDICAID 1033540919

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