Individual provider · Type 1 NPI

Nicole A. Deller, PMHNP

Nurse Practitioner · Angola, IN

NPI number 1114157641 Active

Practice location

301 E Maumee St
Angola, IN 46703-2012

Call (260) 675-7535 Map

Fax (260) 373-8034

Mailing address

416 E Maumee St
Angola, IN 46703-2015

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN9239834 (FL)
Nurse Practitioner Primary 363L00000X71004983A (IN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1114157641

Nicole A. Deller, PMHNP's National Provider Identifier is 1114157641, issued on Jul 17, 2009. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Angola, IN. The record was last updated on Mar 7, 2024.