Individual
NICOLE MARIE SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
MD56521
TN
207N00000X
Dermatology Physician
Primary
PT16859
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1574538
—
AK
05
—
FS1061150
—
ND
05
—
Q031724
—
TN
Enumeration date
11/14/2005
Last updated
04/04/2022
Update your record
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