MEDICARE: NIKI APOSTOLOU

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1043194582
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NIKI APOSTOLOU

Provider Business Mailing Address
First Line	:	7120 REA CROFT DR
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28226-3332
Country	:	US
Telephone Number	:	704-804-4662
Fax Number	:

Provider Business Practice Location Address
First Line	:	7120 REA CROFT DR
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28226-3332
Country	:	US
Telephone Number	:	704-804-4662
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/05/2025
Last Update Date	:	08/05/2025

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Directions to “ NIKI APOSTOLOU ” Practice Location

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