Dr. Anne A. Nicholas
Periodontist
73929 Larrea St Suite 2
Palm Desert
, California 92260-4305
Dr. Anne A. Nicholas
Periodontist
73929 Larrea St Suite 2
Palm Desert
, California 92260-4305
(760) 340-1030
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Dr. Anne A. Nicholas
- 75347 Montecito Dr
- Indian Wells, CA
- Zip : 92210-8358
- Phone : (760) 340-1030
Second Address
- Dr. Anne A. Nicholas
- 73929 Larrea St Suite 2
- Palm Desert, CA
- Zip : 92260-4305
- Phone : (760) 340-1030
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | 37966 | CA |
National Provider Identifier
| NPI | 1114049160 |
|---|---|
| Provider Name | Dr. Anne A. Nicholas |
| First Address | Indian Wells, CA 92210-8358 |
| Second Address | Palm Desert, CA 92260-4305 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/04/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.