Provider Demographics
NPI:1831344910
Name:DELAPLANTE, NICHOLE (DO)
Entity type:Individual
Prefix:DR
First Name:NICHOLE
Middle Name:
Last Name:DELAPLANTE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2170 SOUTH AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH LAKE TAHOE
Mailing Address - State:CA
Mailing Address - Zip Code:96150-7026
Mailing Address - Country:US
Mailing Address - Phone:530-543-5659
Mailing Address - Fax:530-541-8723
Practice Address - Street 1:155 HIGHWAY 50 STE 101
Practice Address - Street 2:
Practice Address - City:STATELINE
Practice Address - State:NV
Practice Address - Zip Code:89449-9816
Practice Address - Country:US
Practice Address - Phone:775-589-8960
Practice Address - Fax:775-588-7040
Is Sole Proprietor?:No
Enumeration Date:2008-11-17
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A13406207Q00000X
NVDO3606207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine