Nichols, Michelle Ann

Nichols, Michelle Ann is an individual health care provider with primary practice located at 1716 Hartford St. , Lafayette IN 47904-2138. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Nichols, Michelle Ann can be contacted via phone (765) 742-1567.

Contact Information

Primary practice address
1716 Hartford St. Lafayette IN 47904-2138
Phone: (765) 742-1567
Fax: (765) 429-2700
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 28096862A Indiana
Nursing Service Providers / Registered Nurse 163W00000X 28096862A Indiana

Profile Details

NPI number 1942753082
LBN Legal business name Nichols, Michelle Ann
Credentials AGNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2016
Last updated Nov 10th, 2016 - about 8 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942753082 NPPES
Indiana MEDICAID PENDING
Indiana Other PENDING

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