Individual
NICOLE RENEE FORNARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1101 GLENDALE BLVD STE 103, VALPARAISO, IN 46383-3769
(219) 510-8888
(833) 941-2562
Mailing address
1101 GLENDALE BLVD STE 103, VALPARAISO, IN 46383-3769
(219) 510-8888
(833) 941-2562
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71008736A
IN
363LF0000X
Family Nurse Practitioner
Primary
71008736A
IN
Other
Enumeration date
02/04/2019
Last updated
03/11/2026
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