MRS. NICHOLE LYNN PELLETIER (NPI# 1841379781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841379781 |
| Entity Type | Individual |
| Full Name | MRS. NICHOLE LYNN PELLETIER |
| Other Name | MISS NICHOLE LYNN BROWN |
| Credential | CRNP |
| Practice Address |
23415 Three Notch Rd Suite 2054 Wildwood Center California MD 20619-4017 |
| Mailing Address |
Po Box 189 Hollywood MD 20636-0189 |
| Practice Telephone | 3017377833 |
| Practice Fax Number | 3017374865 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2010-11-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R162889 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
23415 THREE NOTCH RD SUITE 2054 WILDWOOD CENTER |
| City | CALIFORNIA |
| State | MD |
| Zip Code | 20619-4017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447235171 | Mia Bartuska Finkelston | Specialist | 23415 Three Notch Rd, Suite 2052, Wildewood Center, California, MD 20619-4017 | 2005-12-15 |
| 1265971477 | Visionworks Inc. | Eyewear Supplier (Equipment, not the service) | 23415 Three Notch Rd, Suite 1101, California, MD 20619-4017 | 2017-02-21 |
| 1942641477 | Dylan Schneider Dds Ms LLC | Dentist | 23415 Three Notch Rd, Suite 2003, California, MD 20619-4017 | 2013-07-12 |
| 1225348303 | Back At Your Best Chiropractic & Physical Therapy | Chiropractor | 23415 Three Notch Rd, Suite 2045, California, MD 20619-4017 | 2010-10-07 |
| 1104043157 | Michael Jeffrey Kuhn | Dentist | 23415 Three Notch Rd, Suite #2003, California, MD 20619-4017 | 2007-04-19 |
| 1518184126 | Michael J Kuhn Dds PC | Dentist | 23415 Three Notch Rd, #2003, California, MD 20619-4017 | 2007-04-18 |
| 1770659609 | John Scott Tidball, Md, PC | Family Medicine | 23415 Three Notch Rd, Ste 2054 Wildewood Ctr, California, MD 20619-4017 | 2006-11-24 |
| 1760580476 | John Scott Tidball | Family Medicine | 23415 Three Notch Rd, Suite 2054 Wildewood Center, California, MD 20619-4017 | 2006-09-20 |
| 1902830656 | Carl H Ling | Dermatology | 23415 Three Notch Rd, Suite 2052, California, MD 20619-4017 | 2006-07-10 |
| 1407883051 | Annie Verghese | Dermatology | 23415 Three Notch Rd, Suite 2052, California, MD 20619-4017 | 2006-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851932412 | Ebony Thomas | Technician | 23560 Fdr Blvd, #402, California, MD 20619 | 2019-10-04 |
| 1538723374 | Pyramid Walden LLC | Counselor | 44871 St. Andrews Church Rd., California, MD 20619 | 2019-04-26 |
| 1902378714 | Pyramid Walden, LLC | Clinic/Center | 44863 St. Andrews Church Rd., California, MD 20619 | 2018-12-19 |
| 1073084885 | Pyramid Walden, LLC | Substance Abuse Rehabilitation Facility | 44863 St. Andrew's Church Rd, California, MD 20619 | 2018-12-06 |
| 1972099489 | Leslie Ann Gilbert | Audiologist | 23077 Three Notch Rd Ste 101, California, MD 20619 | 2018-07-09 |
| 1538575261 | Eric Ndoumbe Ndimasa | Pharmacist | 22565 Three Notch Road, California, MD 20619 | 2014-07-02 |
| 1790121861 | Oluwagbolahan Oladipo Lagoke | Pharmacist | 45482 Miramar Way, Walmart, California, MD 20619 | 2013-05-16 |
| 1831437128 | Dylan Schneider | Dentist | 23415 Three Notch Road, Suite 2003, California, MD 20619 | 2013-01-22 |
| 1659603322 | Pyramid Walden, LLC | Counselor | 44867 St. Andrews Church Road, California, MD 20619 | 2010-02-05 |
| 1376742270 | Platinum Eyes | Eyewear Supplier (Equipment, not the service) | 45315 Alton Ln, Suite 16038, California, MD 20619 | 2007-07-12 |
| Find all providers in zip 20619 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922635366 | Jessica I Ihekwoaba | Nurse Practitioner | 23127 Three Notch Rd Ste 104, California, MD 20619-2403 | 2020-03-25 |
| 1679050678 | Susan Michelle Lipasek | Nurse Practitioner | 704 W Buchanan St, California, MO 65018-1228 | 2018-07-23 |
| 1023448172 | Julie Miller | Nurse Practitioner | 57660 Airport Rd, California, MO 65018-3165 | 2013-11-26 |
| 1457963001 | Carrie Ann Catalan | Nurse Practitioner | 45325 Abell House Ln, California, MD 20619-3211 | 2020-08-17 |
| 1720541279 | Vy Phuong Le | Nurse Practitioner | 17100 Euclid St, Fountain Valley, California, CA 92708 | 2019-04-11 |
| 1497270110 | Guillana Simon | Nurse Practitioner | 22590 Shady Ct, California, MD 20619-5009 | 2017-08-03 |
| 1790237949 | Bethany Renee Volkart | Nurse Practitioner | 606 E Buchanan St, California, MO 65018-1910 | 2016-11-03 |
| 1164897021 | Frances Fayish | Nurse Practitioner | 250 University Ave, California, PA 15419-1341 | 2015-12-03 |
| 1437525987 | Erika Rae Robaugh | Nurse Practitioner | 1152 Wood St, California, PA 15419-1260 | 2015-08-19 |
| 1790160968 | Miriam Aleproti | Nurse Practitioner | 22590 Shady Ct, California, MD 20619-5009 | 2015-07-29 |
| Find all providers in CALIFORNIA | ||||
| City | CALIFORNIA |
| Zip Code | 20619 |
Please comment or provide details below to improve the information on MRS. NICHOLE LYNN PELLETIER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.