Pavlides, Nicole
Pavlides, Nicole is an individual health care provider with primary practice located at 2595 N Wyatt Dr , Tucson AZ 85712-6104. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Pavlides, Nicole can be contacted via phone (520) 795-9912.Contact Information
Primary practice address
2595 N Wyatt Dr
Tucson AZ 85712-6104
Phone: (520) 795-9912
Fax: (520) 795-9934
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Midwife | 176B00000X | RN176972 | Georgia |
| Other Service Providers / Midwife | 176B00000X | RN154574 | Arizona |
Profile Details
| NPI number | 1386719896 |
|---|---|
| LBN Legal business name | Pavlides, Nicole |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2006 |
| Last updated | Jan 12th, 2009 - about 15 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 | 1386719896 | NPPES |
| Arizona | MEDICAID | 390332 | |
| Arizona | MEDICAID | 536923623A |
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