Nickerson, Dustin Duane

Nickerson, Dustin Duane is an sole proprietor health care provider with primary practice located at 2610 N 3Rd St , Phoenix AZ 85004-1102. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Nickerson, Dustin Duane can be contacted via phone (480) 610-6100.

Contact Information

Primary practice address
2610 N 3Rd St Phoenix AZ 85004-1102
Phone: (480) 610-6100
Fax: (480) 610-6189
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X RN Arizona
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP11349 Arizona

Profile Details

NPI number 1760988224
LBN Legal business name Nickerson, Dustin Duane
Credentials FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2018
Last updated Sep 26th, 2018 - about 6 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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