Newbold, Nicholas John

Newbold, Nicholas John is an individual health care provider with primary practice located at 22395 Edgewater Dr , Port Charlotte FL 33980-2012. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is his primary health care specialty. Newbold, Nicholas John can be contacted via phone (941) 766-7222.

Contact Information

Primary practice address
22395 Edgewater Dr Port Charlotte FL 33980-2012
Phone: (941) 766-7222
Fax: (941) 766-0970
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP3395152 Florida
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X APRN3395152 Florida

Profile Details

NPI number 1417457425
LBN Legal business name Newbold, Nicholas John
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2018
Last updated Jun 12th, 2024 - about 6 months 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 1417457425 NPPES
Florida MEDICAID 122549300

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