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General NPI Number Information
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NPI Number | 1225525793
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Entity Type | Individual
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Provider Name | NICOLE RESTKO ACNP-BC
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Gender | Female
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Dates
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Enumeration Date | 04/19/2018
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 5430 FREDERICKSBURG RD STE 400
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3539
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Country | US
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Telephone | 210-538-2310
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5730
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City | BELFAST
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State | ME
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Zip | 04915-5700
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Country | US
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Telephone | 888-402-7256
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | C-APN.0102517-C-NP
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1204986
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License Number State | TX
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