Smith, Nicole Annette

Smith, Nicole Annette is an individual health care provider with primary practice located at 7777 B Milliken Ave St 240 , Rancho Cucamonga CA 91730. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Smith, Nicole Annette can be contacted via phone (909) 941-0247.

Contact Information

Primary practice address
7777 B Milliken Ave St 240 Rancho Cucamonga CA 91730
Phone: (909) 941-0247
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA 17734 California

Profile Details

NPI number 1437289584
LBN Legal business name Smith, Nicole Annette
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2007
Last updated Jul 8th, 2007 - about 19 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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