Head, Nicolette

Head, Nicolette is an sole proprietor health care provider with primary practice located at 17150 Euclid St Ste 200, Fountain Valley CA 92708-4092. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Head, Nicolette can be contacted via phone (714) 751-0995.

Contact Information

Primary practice address
17150 Euclid St Ste 200 Fountain Valley CA 92708-4092
Phone: (714) 751-0995
Fax: (714) 751-5606
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 620939 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 17313 California

Profile Details

NPI number 1508236993
LBN Legal business name Head, Nicolette
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 29th, 2015
Last updated Sep 29th, 2015 - about 9 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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