Hastaba, Nicole Alley

Hastaba, Nicole Alley is an individual health care provider with primary practice located at 11030 Rca Center Dr Suite 3015, Palm Beach Gardens FL 33410-4276. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Hastaba, Nicole Alley can be contacted via phone (561) 776-7041.

Contact Information

Primary practice address
11030 Rca Center Dr Suite 3015 Palm Beach Gardens FL 33410-4276
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9107111 Florida

Profile Details

NPI number 1043550775
LBN Legal business name Hastaba, Nicole Alley
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2013
Last updated Feb 26th, 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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