Whiteside, Nicolette
Whiteside, Nicolette is an sole proprietor health care provider with primary practice located at 2000 W Bethany Home Rd , Phoenix AZ 85015-2443. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Whiteside, Nicolette can be contacted via phone (602) 923-5668.Contact Information
Primary practice address
2000 W Bethany Home Rd
Phoenix AZ 85015-2443
Phone: (602) 923-5668
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Critical Care Medicine | 163WC0200X | RN199765 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | CRNA298070 | Arizona |
Profile Details
| NPI number | 1700563681 |
|---|---|
| LBN Legal business name | Whiteside, Nicolette |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 3rd, 2023 |
| Last updated | Sep 22nd, 2023 - about 3 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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