Mccann, Nicole M

Mccann, Nicole M is an individual health care provider with primary practice located at 13005 Us Highway 301 S , Riverview FL 33578-7439. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Mccann, Nicole M can be contacted via phone (813) 915-5291.

Contact Information

Primary practice address
13005 Us Highway 301 S Riverview FL 33578-7439
Phone: (813) 915-5291
Fax: (813) 915-5293
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Florida

Profile Details

NPI number 1487926416
LBN Legal business name Mccann, Nicole M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2012
Last updated May 23rd, 2022 - 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 1487926416 NPPES
Georgia MEDICAID 003121169B

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