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NICOLE ADDISON ARNP
>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1134530041
Individual Registrant: NICOLE ADDISON ARNP
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
1839 CENTRAL AVE ST PETERSBURG, FL 33713-8900 US
Tel: 727-322-1054 Fax: --
Tel: 727-322-1054 Fax: --
Contact information for business:
81 16TH ST S ST PETERSBURG, FL 33705-1600 US
Tel: 321-271-1431 Fax: --
Tel: 321-271-1431 Fax: --
Registration Information:
NPI: 1134530041
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | FL | 9284303 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
