Konda, Nicole

Konda, Nicole is an individual health care provider with primary practice located at 701 Grove Rd Fl 5 , Greenville SC 29605-4210. 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. Konda, Nicole can be contacted via phone (864) 455-4411.

Contact Information

Primary practice address
701 Grove Rd Fl 5 Greenville SC 29605-4210
Phone: (864) 455-4411
Fax: (864) 455-4480
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X CP001709 South Dakota
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2013000129 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 26862 South Carolina

Profile Details

NPI number 1558608067
LBN Legal business name Konda, Nicole
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2013
Last updated Mar 27th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1558608067 NPPES
South Carolina MEDICAID NP9596
South Carolina MEDICAID 1558608067
South Carolina Other 431560263
South Carolina Other P01160135
South Carolina MEDICAID 196346758

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