Nicolette Marlene Dickerhoff
Nurse Practitioner - Neonatal
3200 Providence Dr
Anchorage
, Alaska 99508-4615
Nicolette Marlene Dickerhoff
Nurse Practitioner - Neonatal
3200 Providence Dr
Anchorage
, Alaska 99508-4615
(636) 751-5771
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About
Features
Specialties
- Nurse Practitioner - Neonatal
Languages spoken
- English
Location
First Address
- Nicolette Marlene Dickerhoff
- 1534 Vale Pl
- Erie, CO
- Zip : 80516-4037
- Phone : (636) 751-5771
Second Address
- Nicolette Marlene Dickerhoff
- 3200 Providence Dr
- Anchorage, AK
- Zip : 99508-4615
- Phone : (907) 562-2211
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LN0000X | Nurse Practitioner - Neonatal | 124870 | AK |
National Provider Identifier
| NPI | 1144758160 |
|---|---|
| Provider Name | Nicolette Marlene Dickerhoff |
| First Address | Erie, CO 80516-4037 |
| Second Address | Anchorage, AK 99508-4615 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/06/2017 |
| Last Update Date | 11/10/2017 |
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.