Individual
NICHOLE BARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
8051 S EMERSON AVE STE 365, INDIANAPOLIS, IN 46237-0011
(317) 851-2331
Mailing address
2650 WARRENVILLE RD STE 280, DOWNERS GROVE, IL 60515-2075
(630) 324-7920
(630) 324-7946
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28276151A
IN
363LF0000X
Family Nurse Practitioner
Primary
71013964A
IN
Other
Enumeration date
06/02/2023
Last updated
11/02/2023
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