Nimmo-Olsen, Whitney Renae

Nimmo-Olsen, Whitney Renae is an individual health care provider with primary practice located at 725 S 6Th St , Macclenny FL 32063-9653. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Nimmo-Olsen, Whitney Renae can be contacted via phone (904) 259-3150.

Contact Information

Primary practice address
725 S 6Th St Macclenny FL 32063-9653
Fax: (904) 259-7890
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9371287 Florida

Profile Details

NPI number 1659770121
LBN Legal business name Nimmo-Olsen, Whitney Renae
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2014
Last updated Aug 27th, 2020 - about 5 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 1659770121 NPPES
Florida Other IA753X MEDICARE
Florida Other IA753W MEDICARE
Florida MEDICAID 012979200 MEDICARE
Florida Other Y0Q50 MEDICARE

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