Nicole S Cleaves, RNFA
Registered Nurse, Registered Nurse First Assistant in South Lake Tahoe, CA. Individual provider (NPI-1).
NPI number1154599686
StatusActive
Last updated in NPPESAug 25, 2010
Details
- NPI
- 1154599686
- Entity type
- Individual (NPI-1)
- Name
- Nicole S Cleaves
- Credential
- RNFA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 19, 2008
- Last updated
- Aug 25, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WR0006X | Registered Nurse, Registered Nurse First Assistant | 512300 | CA | Yes |
| 163WR0006X | Registered Nurse, Registered Nurse First Assistant | 57655 | NV | |
| 163W00000X | Registered Nurse | 57655 | NV | |
| 163W00000X | Registered Nurse | 512300 | CA |
Practice location
2170 South AveSouth Lake Tahoe, CA 96150-7026
Phone 530-543-5979 · Fax 530-541-8723
Mailing address
1111 Emerald Bay RdSouth Lake Tahoe, CA 96150-6207
Phone 530-543-5979 · Fax 530-541-8723
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