Nicola, Amanda M

Nicola, Amanda M is an individual health care provider with primary practice located at 1 Medical Center Drive , Morgantown WV 26506. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Nicola, Amanda M can be contacted via phone (304) 598-4800.

Contact Information

Primary practice address
1 Medical Center Drive Morgantown WV 26506
Phone: (304) 598-4800
Fax: (304) 598-6873
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 63245 West Virginia

Profile Details

NPI number 1508040452
LBN Legal business name Nicola, Amanda M
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2007
Last updated Feb 27th, 2012 - about 13 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 1508040452 NPPES
West Virginia MEDICAID 3810010886

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