Kennedy, Nicole Shuff

Kennedy, Nicole Shuff is an individual health care provider with primary practice located at 23450 Via Coconut Pt , Estero FL 34135-1877. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Kennedy, Nicole Shuff can be contacted via phone (239) 468-0150.

Contact Information

Primary practice address
23450 Via Coconut Pt Estero FL 34135-1877
Phone: (239) 468-0150
Fax: (239) 343-4056
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN280201 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN9487918 Florida

Profile Details

NPI number 1649232372
LBN Legal business name Kennedy, Nicole Shuff
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Dec 15th, 2021 - about 3 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 1649232372 NPPES
Ohio Other 000000326662 ANTHEM PIN
Ohio MEDICAID 2468146 ANTHEM PIN
Ohio MEDICAID 102248000 ANTHEM PIN
Ohio Other P00169140 ANTHEM PIN

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