Silloway, Nicole D

Silloway, Nicole D is an individual health care provider with primary practice located at 2165 White Bear Ave N , Maplewood MN 55109-2707. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Silloway, Nicole D can be contacted via phone (651) 523-9800.

Contact Information

Primary practice address
2165 White Bear Ave N Maplewood MN 55109-2707
Phone: (651) 523-9800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9401 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 9401 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1954 Wisconsin

Profile Details

NPI number 1386636553
LBN Legal business name Silloway, Nicole D
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Apr 4th, 2024 - about 8 months 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 1386636553 NPPES
Wisconsin MEDICAID 42882500
Wisconsin MEDICAID 729430100
Wisconsin Other 003756125

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