Lucero, Nissa Breann
Lucero, Nissa Breann is an individual health care provider with primary practice located at 415 N Main St , Spanish Fork UT 84660-1439. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Lucero, Nissa Breann can be contacted via phone (801) 798-9700.Contact Information
Primary practice address
415 N Main St
Spanish Fork UT 84660-1439
Phone: (801) 798-9700
Fax: (801) 798-3131
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 64501484405 | Utah |
Profile Details
| NPI number | 1811294697 |
|---|---|
| LBN Legal business name | Lucero, Nissa Breann |
| Credentials | NP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2011 |
| Last updated | Feb 14th, 2011 - about 13 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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