Individual provider · Type 1 NPI

Nicole Hainley, AGACNP, FNP

Gerontology Nurse Practitioner · Portland, OR

NPI number 1609172006 Active

Practice location

9205 SW Barnes Rd
Portland, OR 97225-6603

Mailing address

PO Box 3158
Portland, OR 97208-3158

Other practice locations

  • 9155 SW Barnes Rd, Suite 420, Portland, OR 97225-6625 · (503) 297-6334

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X201150145NP (OR)
Acute Care Nurse Practitioner 363LA2100X201150145NP (OR)
Acute Care Nurse Practitioner 363LA2100X201809639NP (OR)
Family Nurse Practitioner 363LF0000X201150145NP (OR)
Family Nurse Practitioner 363LF0000X336624 (NY)
Gerontology Nurse Practitioner Primary 363LG0600X201150145NP (OR)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1609172006

Nicole Hainley, AGACNP, FNP's National Provider Identifier is 1609172006, issued on Feb 2, 2011. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Portland, OR. The record was last updated on Mar 11, 2021.