Provider Demographics
NPI:1972889566
Name:GRASSO REHMAN, NICOLE M (MSN, APRN, ANP-C)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:M
Last Name:GRASSO REHMAN
Suffix:
Gender:F
Credentials:MSN, APRN, ANP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 CENTRAL CIR STE 108
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069-8230
Mailing Address - Country:US
Mailing Address - Phone:725-482-2259
Mailing Address - Fax:
Practice Address - Street 1:2001 CENTRAL CIR STE 108
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-8230
Practice Address - Country:US
Practice Address - Phone:725-482-2259
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-26
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY305803363LA2200X
TX1076810363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health