Ms Nicole Marie Desiderati, RN PMHNP-BC - Nurse Practitioner in Portland, OR

Ms Nicole Marie Desiderati, RN PMHNP-BC is a Nurse Practitioner - Psychiatric/mental Health based in Portland, Oregon. Ms Nicole Marie Desiderati is licensed to practice in Oregon (license number 201350103NP) and her current practice location is 10011 Se Division St, Suite 203, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at (503) 255-2343.

NPI number for Ms Nicole Marie Desiderati is 1558548370 and her current mailing address is Po Box 16308, Portland, Oregon. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1558548370.

Contact Information

Ms Nicole Marie Desiderati, RN PMHNP-BC
10011 Se Division St, Suite 203,
Portland, OR 97266-1351
(503) 255-2343
(503) 255-2344

Map and Direction




Provider's Profile

Full NameMs Nicole Marie Desiderati
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location10011 Se Division St, Portland, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1558548370
  • Provider Enumeration Date: 01/23/2008
  • Last Update Date: 12/17/2014

Medical Identifiers

Medical identifiers for Ms Nicole Marie Desiderati such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558548370NPI-NPPES
096511MedicaidOR
22959MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 201350103NP (Oregon)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Nicole Marie Desiderati is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Nicole Marie Desiderati, RN PMHNP-BC
Po Box 16308,
Portland, OR 97292-0308

Ph: (503) 255-2343
Ms Nicole Marie Desiderati, RN PMHNP-BC
10011 Se Division St, Suite 203,
Portland, OR 97266-1351

Ph: (503) 255-2343

Reviews and Comments


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