Nicole Licup Nam, NP
NPI 1538827985 · Primary Care Nurse Practitioner · Los Angeles, CA
Nicole Licup Nam, NP is a Primary Care Nurse Practitioner provider in Los Angeles, CA (NPI 1538827985).
Provider details
- NPI number
- 1538827985
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 95085049 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-12-02
- Last updated
- 2022-02-08
- Certified
- 2022-01-29
Frequently asked questions
- What is Nicole Licup Nam's NPI number?
- Nicole Licup Nam's National Provider Identifier (NPI) is 1538827985, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicole Licup Nam's specialty?
- Nicole Licup Nam is listed in the NPPES registry with a primary specialty of Primary Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Nicole Licup Nam located?
- Nicole Licup Nam's practice location on file with NPPES is 11301 Wilshire Blvd # 117, Los Angeles, CA 90073-1003.
- What is Nicole Licup Nam's phone number?
- The practice phone number listed in the NPPES registry for Nicole Licup Nam is (562) 261-7638.
- Is Nicole Licup Nam's NPI active?
- Yes — Nicole Licup Nam's NPI (1538827985) is active in the NPPES registry as of the last update on 2022-02-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.