Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
NICOLE L COLLICK
Active
Individual
NICOLE L COLLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
374U00000X
Home Health Aide
Primary
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y
SOLE PROPIETOR CODE
—
Enumeration date
10/19/2018
Last updated
10/19/2018
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