Nicole Woosnam PAC

NPI 1083668149 - Physician Assistant - 363A00000X

NPI Details
NPI 1083668149
Gender Female
Enumeration Date 05/20/2006
Last Updated 01/02/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
620 SHADOW LN
LAS VEGAS NV, 89106-4119, US
Phone (702) 388-4500
Fax
Business Location
5608 MAJESTIC TIDE AVE
LAS VEGAS NV, 89131-2517, US
Phone (702) 531-8821
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Nevada
License Number PA600
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According to our database, Nicole Woosnam PAC NPI is 1083668149, taxonomy code is 363A00000X and license number is PA600, license state is located at Nevada. Nicole Woosnam PAC physically located at 620 Shadow Ln, Las Vegas NV, 89106-4119. NPI Number Nicole Woosnam PAC has the Individual type.

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1083668149 NPI number is provided on an as is basis without warranty of any kind. 1083668149 is maintained by the National Plan & Provider Enumeration System. The contents of Nicole Woosnam PAC are for informational purposes only.