Myles, Holly Nicole
Myles, Holly Nicole is an individual health care provider with primary practice located at 3750 Landmark Drive Suite A, Lafayette IN 47905-6633. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Myles, Holly Nicole can be contacted via phone (765) 448-4511.Contact Information
Primary practice address
3750 Landmark Drive Suite A
Lafayette IN 47905-6633
Phone: (765) 448-4511
Fax: (765) 447-8375
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 71002110A | Indiana |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 71002110A | Indiana |
Profile Details
NPI number | 1922037811 |
---|---|
LBN Legal business name | Myles, Holly Nicole |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 2nd, 2006 |
Last updated | May 17th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1922037811 | NPPES |
Indiana | Other | 000000668422 | ANTHEM PROVIDER NUMBER |
Indiana | MEDICAID | 200844660 | ANTHEM PROVIDER NUMBER |
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