Nicole Mateo Licup Nam is a Los Angeles, California based nurse practitioner. Active license number of Nicole Mateo Licup Nam is 95015421 for Primary Care in California. Her current practice location is 11301 Wilshire Blvd # 117, Los Angeles. Patients can reach her at 562-261-7638. Nicole Mateo Licup Nam is NP and her NPI number (Unique professional ID assigned by NPPES) is 1538827985. Nicole Mateo Licup Nam has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Nicole Mateo Licup Nam speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Nicole Mateo Licup Nam
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Credentials:
NP
Practice Address:
11301 Wilshire Blvd # 117, Los Angeles, California, 90073-1003
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1538827985
NPI Enumeration Date:
02 Dec, 2021
NPI Last Update On:
08 Feb, 2022
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nicole Mateo Licup Nam are as mentioned below.
License Number
Specialization
State
Status
95015421
Primary Care
California
Primary
95085049
Registered Nurse
California
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Nicole Mateo Licup Nam 11301 Wilshire Blvd, Los Angeles, California
Zip:
90073-1003
Phone Number:
657-224-0465
Patients can reach Nicole Mateo Licup Nam at 11301 Wilshire Blvd # 117, Los Angeles, California or can call to book an appointment on 562-261-7638.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.