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
Phone: (904) 259-3150
Fax: (904) 259-7890
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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