Nicole Mateo Licup Nam, NP
- Hospital affiliations
- 1
- Year NPI issued
- 2021
- Practice address
- 11301 Wilshire Blvd., Los Angeles, CA 90073
- Practice phone
- Call (310) 478-3711
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Find Nicole Licup Nam's professional email, personal email and mobile number
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Nicole Mateo Licup Nam is a primary care nurse practitioner in Los Angeles, California
Nicole Licup Nam practices at West Los Angeles VA Medical Center in Los Angeles, California, part of Veterans Health Administration.
Nicole Licup Nam's NPI, 1538827985, was assigned on December 2, 2021.
- NPI
- 1538827985NPI Registry (opens in a new tab)
- NPI enumeration date
- December 2, 2021
- NPI status
- Active
- Practice phone
- (310) 478-3711
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Female
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Affiliation Data
Nicole Mateo Licup Nam practices at West Los Angeles VA Medical Center in Los Angeles, California
Nicole Licup Nam's primary practice is West Los Angeles VA Medical Center, at 11301 Wilshire Blvd., Los Angeles, CA 90073 in Los Angeles County. The practice phone is (310) 478-3711.
- West Los Angeles VA Medical Center11301 Wilshire Blvd., Los Angeles, CA 90073 · Los Angeles CountyPhone(310) 478-3711
Source: Dmand AI Affiliation Data
Nicole Mateo Licup Nam is affiliated with 1 site of care
Nicole Licup Nam's primary practice is West Los Angeles VA Medical Center in Los Angeles, California, part of Veterans Health Administration. Nicole Licup Nam's employer is on file too: a hospital.
Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Nicole Mateo Licup Nam's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Nicole Licup Nam practices. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| West Los Angeles VA Medical Center | Available with a free account |
Source: Dmand AI Technology Install Data
For health IT teams
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Nicole Mateo Licup Nam is one of 860 primary care nurse practitioners in California
Primary care is Nicole Licup Nam's primary specialty in the NPI Registry, under taxonomy code 363LP2300X.
Specialties and state licenses
- Primary care nurse practitionerPrimary
Primary care nurse practitioners near Nicole Licup Nam
Counts of primary care nurse practitioners with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Nicole Mateo Licup Nam's patients have a median age of 53
Across all payers, Dmand AI patient panel data puts Nicole Licup Nam's median patient age at 53, with 67% women.
Nicole Licup Nam's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 53
Patient panel by sex, all payers
- Women67%
- Men33%
Source: Dmand AI Patient Panel Data
Sources for Nicole Mateo Licup Nam's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Nicole Mateo Licup Nam
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Nicole Mateo Licup Nam's NPI number?
Nicole Mateo Licup Nam's NPI number is 1538827985. It was assigned on December 2, 2021, and it is active in the NPI Registry.
What does Nicole Mateo Licup Nam specialize in?
Nicole Mateo Licup Nam is a primary care nurse practitioner in Los Angeles, California. The primary specialty in the NPI Registry is Primary Care Nurse Practitioner (taxonomy code 363LP2300X).
Where does Nicole Mateo Licup Nam practice?
Nicole Licup Nam practices at 11301 Wilshire Blvd., Los Angeles, CA 90073. Nicole Licup Nam's primary practice is West Los Angeles VA Medical Center in Los Angeles, California, part of Veterans Health Administration.
What is Nicole Mateo Licup Nam's office phone number?
The practice phone on file for Nicole Licup Nam is (310) 478-3711.
Which hospitals is Nicole Mateo Licup Nam affiliated with?
Nicole Licup Nam practices at West Los Angeles VA Medical Center in Los Angeles, California.
How long has Nicole Mateo Licup Nam been practicing?
Nicole Licup Nam's NPI was assigned in 2021.
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