# NICOLE CORDERO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1477110518
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 434776 | OH | — |
| 363LF0000X | Family Nurse Practitioner | 0028070 | OH | Yes |

## Other

- **Enumeration date:** 05/23/2019
- **Last updated:** 04/16/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 316000064 | TAX ID | OH |