Thude, Nicolette

Thude, Nicolette is an sole proprietor health care provider with primary practice located at 1651 George Bell Cir Ste 900, Anchorage AK 99515-3955. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Thude, Nicolette can be contacted via phone (907) 345-7082.

Contact Information

Primary practice address
1651 George Bell Cir Ste 900 Anchorage AK 99515-3955
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AK429 Alaska

Profile Details

NPI number 1013901479
LBN Legal business name Thude, Nicolette
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2005
Last updated Jan 8th, 2013 - about 12 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 1013901479 NPPES
Other 5502254 AETNA
MEDICAID NP04292 AETNA

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