Heidaran, Nicole Elise

Heidaran, Nicole Elise is an individual health care provider with primary practice located at 1488 Northpoint Village Ctr , Reston VA 20194-1190. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Heidaran, Nicole Elise can be contacted via phone (571) 780-1024.

Contact Information

Primary practice address
1488 Northpoint Village Ctr Reston VA 20194-1190
Fax: (571) 786-1025
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0024175152 Virginia

Profile Details

NPI number 1902329568
LBN Legal business name Heidaran, Nicole Elise
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2017
Last updated Mar 9th, 2023 - about 2 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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