Villegas, Nicole Tomko

Villegas, Nicole Tomko is an individual health care provider with primary practice located at 2801 Jones Dr , Laredo TX 78045-8901. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Villegas, Nicole Tomko can be contacted via phone (956) 523-2619.

Contact Information

Primary practice address
2801 Jones Dr Laredo TX 78045-8901
Phone: (956) 523-2619
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 619339 Texas

Profile Details

NPI number 1376514075
LBN Legal business name Villegas, Nicole Tomko
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Jan 12th, 2012 - 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 1376514075 NPPES
Texas MEDICAID 142497004
Texas MEDICAID 142497009
Texas Other P00971759
Texas Other P00191328
Texas Other 85041U

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