Nicole Outten, PA | |
21297 Olean Blvd Ste A, Port Charlotte, FL 33952 | |
(855) 979-5700 | |
(855) 979-5701 |
Full Name | Nicole Outten |
---|---|
Gender | Female |
Speciality | Physician Assistant |
Location | 21297 Olean Blvd Ste A, Port Charlotte, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568619476 | NPI | - | NPPES |
001888400 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | PA9104426 (Florida) | Primary |
Mailing Address | Practice Location Address |
---|---|
Nicole Outten, PA 2675 Winkler Ave Fl 2, Fort Myers, FL 33901-9342 Ph: (877) 856-3774 | Nicole Outten, PA 21297 Olean Blvd Ste A, Port Charlotte, FL 33952 Ph: (855) 979-5700 |
Grace Diana Tice, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1641 Tamiami Trl Ste 1, Port Charlotte, FL 33948 Phone: 941-629-6262 | |
Travis Neagle, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 21297 Olean Blvd Ste A, Port Charlotte, FL 33952 Phone: 855-979-5700 Fax: 855-979-5701 | |
Iris Jeanne Swiderski, DHSC, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 21298 Olean Blvd, Port Charlotte, FL 33952 Phone: 941-629-1181 | |
Mr. Brian R Webster, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 530 Tamiami Trail, Port Charlotte, FL 33953 Phone: 941-391-5296 Fax: 941-391-5297 | |
Sara Elizabeth Wainwright, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 21297 Olean Blvd Ste A, Port Charlotte, FL 33952 Phone: 855-979-5700 | |
Danielle Steffen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3611 Tamiami Trl Ste B, Port Charlotte, FL 33952 Phone: 941-235-0542 Fax: 941-235-0545 | |
Richard E Jackson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 21260 Olean Blvd Ste 200, Port Charlotte, FL 33952 Phone: 941-625-4270 Fax: 941-625-1751 |