Nicole Licup Nam, NP

Individual Active
NPI 1538827985
Primary Care Nurse Practitioner Los Angeles, CA

Nicole Licup Nam, NP holds NPI 1538827985, with a primary taxonomy of primary care nurse practitioner and a practice location in Los Angeles, CA. The number was issued on December 2, 2021 and the NPPES record was last updated on February 8, 2022. The record lists 2 taxonomy codes.

Taxonomies and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300X 95015421 (CA)
Registered Nurse 163W00000X 95085049 (CA)

Practice location

11301 Wilshire Blvd # 117
Los Angeles, CA 90073-1003
Phone: (562) 261-7638

Local context

Active NPPES records list 300 providers with primary care nurse practitioner as the primary taxonomy within 25 miles of this practice location's ZIP code, 74 of them within 10 miles.

The same primary taxonomy is listed by 1,225 in California and 13,165 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Nicole Mateo Licup Nam
Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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