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Nicole Mateo Licup Nam, NP
Primary Care Nurse Practitioner in Los Angeles, California
NPI 1538827985

Nicole Mateo Licup Nam is a Primary Care Nurse Practitioner based in Los Angeles, CA and is specialized in Primary Care. Nicole Mateo Licup Nam practices in Los Angeles, CA and has the professional credentials of NP. The NPI Number for Nicole Mateo Licup Nam is 1538827985 and holds a License No. 95085049 (California).

The current practice location address for Nicole Mateo Licup Nam is 11301 Wilshire Blvd # 117, Los Angeles, CA and can be reached out via phone at 562-261-7638.

Location: 11301 Wilshire Blvd # 117, Los Angeles, CA, 90073-1003
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538827985
Provider Name
Nicole Mateo Licup Nam
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
11301 Wilshire Blvd # 117, Los Angeles, CA, 90073-1003
Phone Number
562-261-7638
Fax Number
Provider Enumeration Date
12/02/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11301 Wilshire Blvd # 117
City
Los Angeles
State
California
Zip
90073-1003
Phone Number
562-261-7638
Fax Number
person
Provider Business Mailing Address Details
Address
11301 Wilshire Blvd # 117
City
Los Angeles
State
California
Zip
90073-1003
Phone Number
562-261-7638
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
-
Taxonomy
163W00000X
License No.
95015421 (California)
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
95085049 (California)
Definition
Definition to come...
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