Provider Demographics
NPI:1568226405
Name:PLACHETA-YOGI, NICOLE MAE (APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:MAE
Last Name:PLACHETA-YOGI
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4150 S HUALAPAI WAY UNIT 4013
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89147-8770
Mailing Address - Country:US
Mailing Address - Phone:510-557-9982
Mailing Address - Fax:
Practice Address - Street 1:4150 S HUALAPAI WAY UNIT 4013
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89147-8770
Practice Address - Country:US
Practice Address - Phone:510-557-9982
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-12
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVF01241062363LF0000X
NV837440363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily