Nickell, Scott Lee

Nickell, Scott Lee is an individual health care provider with primary practice located at 747 52Nd St , Oakland CA 94609-1809. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Occupational Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Nickell, Scott Lee can be contacted via phone (510) 428-3621.

Contact Information

Primary practice address
747 52Nd St Oakland CA 94609-1809
Phone: (510) 428-3621
Fax: (510) 450-5693
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Occupational Health 163WX0106X 551822 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 13117 California

Profile Details

NPI number 1306099825
LBN Legal business name Nickell, Scott Lee
Credentials MSN, FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2008
Last updated Oct 28th, 2008 - about 16 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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