NPI 1316455850 · live from the CMS NPI Registry
Nicole E Avilez, PA-C
Physician Assistant in Paola, KS. National Provider Identifier 1316455850, active.
NPI record
| NPI | 1316455850 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 1318 Kansas Dr, Paola, KS 66071 |
| Practice phone | 913-557-5678 |
| Enumerated | January 18, 2018 |
| Last updated | December 12, 2022 |
| Sole proprietor | No |
| Other names | Nicole Waugh |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 2834 (OK) |
| Physician Assistant primary | 363A00000X | 15-02608 (KS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.