Wisniewski, Nicolle Kahl

Wisniewski, Nicolle Kahl is an individual health care provider with primary practice located at 1001 Noble St , Fairbanks AK 99701-4922. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Wisniewski, Nicolle Kahl can be contacted via phone (907) 459-3500.

Contact Information

Primary practice address
1001 Noble St Fairbanks AK 99701-4922
Phone: (907) 459-3500
Fax: (907) 458-2653
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1000 Alaska
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 9868 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 1000 Alaska

Profile Details

NPI number 1871579961
LBN Legal business name Wisniewski, Nicolle Kahl
Credentials MPAS, PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2005
Last updated Mar 7th, 2023 - about 2 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 1871579961 NPPES
Minnesota MEDICAID 991491900
Minnesota MEDICAID 1575427

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