Tucker, Nichole Elizabeth
Tucker, Nichole Elizabeth is an sole proprietor health care provider with primary practice located at 200 Forbes St Ste 200, Annapolis MD 21401-1538. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Tucker, Nichole Elizabeth can be contacted via phone (410) 263-6363.Contact Information
Primary practice address
200 Forbes St Ste 200
Annapolis MD 21401-1538
Phone: (410) 263-6363
Fax: (410) 263-4086
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | R191254 | Maryland |
Profile Details
| NPI number | 1861755928 |
|---|---|
| LBN Legal business name | Tucker, Nichole Elizabeth |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 22nd, 2012 |
| Last updated | Dec 11th, 2014 - about 11 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 | 1861755928 | NPPES |
| Maryland | Other | R191254 | CRNP RN LICENSE # |
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