Individual
MR. JAMES H NICELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1001 MOUNTAIN ST, SUITE 3 M, CARSON CITY, NV 89703-3822
(775) 885-8890
(775) 885-8865
Mailing address
1001 MOUNTAIN ST, SUITE 3 M, CARSON CITY, NV 89703-3822
(775) 885-8890
(775) 885-8865
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
123
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002413010
—
NV
Enumeration date
09/26/2006
Last updated
07/08/2007
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