Individual
NICHOLE S HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(717) 531-8413
(717) 531-1533
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP015768
PA
363LN0005X
Critical Care Neonatal Nurse Practitioner
SP99999
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103149237
—
PA
Enumeration date
11/23/2015
Last updated
08/09/2022
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