CHRISTINE NDUNGE NIKOLIC NP-C NPI 1760482574

NPI Information

NPI: 1760482574
Provider Name: CHRISTINE NDUNGE NIKOLIC, NP-C
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
6116 E. ARBOR AVE
SUITE 112
MESA, AZ
ZIP 85206
Phone: (480) 641-5400
Get Directions

Christine Ndunge Nikolic, NP-C is an adult health nurse practitioner in Mesa, AZ. Christine Ndunge Nikolic, NP-C NPI is 1760482574. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6116 E. ARBOR AVE
SUITE 112
MESA, AZ
ZIP 85206
Phone: (480) 641-5400
Fax: (480) 218-4353

The NPI 1760482574 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/22/2005 and was last updated on 1/29/2019.

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	163W00000X	Registered Nurse		RN121750	ARIZONA	No
2	363LA2200X	Nurse Practitioner	Adult Health	AP1691	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P00418321	OTHER	ARIZONA	RAILROAD MEDICARE
2	WCSKQ	OTHER	ARIZONA	SUN HEALTH GROUP #
3	836356	MEDICAID	ARIZONA
4	P00150020	OTHER	ARIZONA	RAILROAD MEDICARE

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: 4/28/2024

NPI Synchronization or Removal

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