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Contact Information

NIKI M NINOPOULOS, PA-C
3901 CARLISLE BLVD NE
ALBUQUERQUE, NM87107-4503
 Phone: 505-254-6100
 Fax: 505-546-5322
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
 

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for NIKI M NINOPOULOS · (Female)

NPI Number 1134604978
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 09/27/2018
Last updated 12/17/2018 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • NM License # PA2018-0074
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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