# MS. NICHELEI ANISSA TALMORE

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

## Provider details

- **NPI number:** 1679507610
- **Gender:** F
- **Credential:** MA CCCA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | 80613 | TX | Yes |
| 231H00000X | Audiologist | AUD003741 | GA | — |
| 237600000X | Audiologist-Hearing Aid Fitter | AUD003741 | GA | — |

## Other

- **Enumeration date:** 07/10/2006
- **Last updated:** 01/13/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 64BCBPT | MEDICARE | GA |
| 05 | — | 809412356A | — | GA |