Medina, Nicolle L
Medina, Nicolle L is an individual health care provider with primary practice located at 50 N Eisenhower Ave , Mason City IA 50401-7340. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Medina, Nicolle L can be contacted via phone (641) 423-5479.Contact Information
Primary practice address
50 N Eisenhower Ave
Mason City IA 50401-7340
Phone: (641) 423-5479
Fax: (641) 423-6102
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | G166072 | Iowa |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | A099623 | Iowa |
Profile Details
NPI number | 1528150661 |
---|---|
LBN Legal business name | Medina, Nicolle L |
Credentials | ARNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 28th, 2006 |
Last updated | Oct 21st, 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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