Ida, Nicole Anne

Ida, Nicole Anne is an individual health care provider with primary practice located at 11200 Seminole Blvd Suite 210, Largo FL 33778-3259. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ida, Nicole Anne can be contacted via phone (727) 584-9500.

Contact Information

Primary practice address
11200 Seminole Blvd Suite 210 Largo FL 33778-3259
Phone: (727) 584-9500
Fax: (727) 393-9502
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9269007 Florida

Profile Details

NPI number 1598035495
LBN Legal business name Ida, Nicole Anne
Credentials ARNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2012
Last updated Feb 1st, 2019 - about 5 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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