MR. SCOTT LEE NICKELL MSN FNP NPI 1306099825

NPI Information

NPI: 1306099825
Provider Name: MR. SCOTT LEE NICKELL, MSN, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
747 52ND ST
OAKLAND, CA
ZIP 94609
Phone: (510) 428-3621
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MR. Scott Lee Nickell, MSN, FNP is a family nurse practitioner in Oakland, CA. MR. Scott Lee Nickell, MSN, FNP NPI is 1306099825. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

747 52ND ST
OAKLAND, CA
ZIP 94609-809
Phone: (510) 428-3621
Fax: (510) 450-5693

The enumeration date for this NPI number is 10/28/2008 and was last updated on 10/28/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WX0106X	Registered Nurse	Occupational Health	551822	CALIFORNIA	No
2	363LF0000X	Nurse Practitioner	Family	13117	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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