Laporte, Nicole

Laporte, Nicole is an individual health care provider with primary practice located at 125 S 9Th St , Philadelphia PA 19107-5125. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Laporte, Nicole can be contacted via phone (215) 985-2500.

Contact Information

Primary practice address
125 S 9Th St Philadelphia PA 19107-5125
Fax: (267) 765-2325
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X SP010732 Pennsylvania

Profile Details

NPI number 1114241049
LBN Legal business name Laporte, Nicole
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2010
Last updated Sep 22nd, 2016 - about 8 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 1114241049 NPPES
Pennsylvania MEDICAID 1025284950001

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