Provider Demographics
NPI:1356183826
Name:MCNAIR, NICOLETTE (MEDICAL STUDENT)
Entity type:Individual
Prefix:
First Name:NICOLETTE
Middle Name:
Last Name:MCNAIR
Suffix:
Gender:F
Credentials:MEDICAL STUDENT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:951 LAS PALMAS ENTRADA AVE APT 1715
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89012-5624
Mailing Address - Country:US
Mailing Address - Phone:949-690-4808
Mailing Address - Fax:
Practice Address - Street 1:951 LAS PALMAS ENTRADA AVE APT 1715
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89012-5624
Practice Address - Country:US
Practice Address - Phone:949-690-4808
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-06
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program