Nieves, Wilfredo

Nieves, Wilfredo is an individual health care provider with primary practice located at 140 N Davis Rd Apt 511, Lagrange GA 30241-1596. He recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as his primary health care specialty. Nieves, Wilfredo can be contacted via phone (407) 314-6625.

Contact Information

Primary practice address
140 N Davis Rd Apt 511 Lagrange GA 30241-1596
Phone: (407) 314-6625
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 37289 Puerto Rico

Profile Details

NPI number 1689045809
LBN Legal business name Nieves, Wilfredo
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2015
Last updated Oct 14th, 2015 - about 9 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 1689045809 NPPES
Alabama Other PPA809076294 BLUE CROSS BLUE SHIELD

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