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Contact Information

NINA T VASILIEV, PAC
1561 CREEKSIDE DRIVE
SUITE 170
FOLSOM, CA95630
 Phone: 916-983-5557
 Fax: 916-983-7878
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Gynecologic Oncology

207VX0201X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for NINA T VASILIEV · (Female)

NPI # 1972661874
Status Active
Credentials PAC
Entity Individual
Enumeration date 12/04/2006
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 13353
  • CA License # PA13353
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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