Individual
DR. NICOLE ANTOINETTE NEGBENEBOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
MD-51638
IA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
MD-51638
IA
207ND0900X
Dermatopathology Physician
MD-51638
IA
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
MD-51638
IA
207NS0135X
Procedural Dermatology Physician
MD-51638
IA
207R00000X
Internal Medicine Physician
LP04304
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LP04304
—
RI
Enumeration date
06/07/2018
Last updated
08/03/2023
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