Individual
NICOLE IRENE NEIBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2701 E 3RD ST, BLOOMINGTON, IN 47401-5433
(812) 332-1419
Mailing address
2701 E 3RD ST, BLOOMINGTON, IN 47401-5433
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28252445C
IN
363LF0000X
Family Nurse Practitioner
Primary
71015902A
IN
Other
Enumeration date
10/14/2024
Last updated
04/13/2026
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