Individual provider · Type 1 NPI
Nathan D. Nicola, NP
Family Nurse Practitioner · Fort Wayne, IN
NPI number
1154956209
Active
Practice location
6511 E State Blvd
Fort Wayne, IN 46815-7026
Fax (260) 479-4604
Mailing address
6920 Pointe Inverness Way Ste 200
Fort Wayne, IN 46804-7934
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 71009821A (IN) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1154956209
Nathan D. Nicola, NP's National Provider Identifier is 1154956209, issued on Mar 10, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fort Wayne, IN. The record was last updated on Oct 15, 2020.