Individual provider · Type 1 NPI

Nicolette P. Im

Registered Nurse · Harbor City, CA

NPI number 1255194668 Active

Practice location

25825 Vermont Ave
Harbor City, CA 90710-3518

Mailing address

2210 Vanderbilt Ln Apt 8
Redondo Beach, CA 90278-3140

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X763293 (CA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1255194668

Nicolette P. Im's National Provider Identifier is 1255194668, issued on Jan 31, 2024. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Harbor City, CA. The record was last updated on Jan 31, 2024.