Provider Demographics
NPI:1457002289
Name:NAPOLITANO, NICOLE (RPSGT)
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:
Last Name:NAPOLITANO
Suffix:
Gender:F
Credentials:RPSGT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2839 SAINT ROSE PKWY STE 160
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-4849
Mailing Address - Country:US
Mailing Address - Phone:702-333-7270
Mailing Address - Fax:702-492-1978
Practice Address - Street 1:2839 SAINT ROSE PKWY STE 160
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-4849
Practice Address - Country:US
Practice Address - Phone:702-333-7270
Practice Address - Fax:702-492-1978
Is Sole Proprietor?:No
Enumeration Date:2022-01-13
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
14631156F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156F00000XEye and Vision Services ProvidersTechnician/Technologist