Individual
MS. NICCI COLEEN FRAVEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
5026 WEST US 52- CLINIC # 6608, MINUTE CLINIC DIAGNOSTICS OF INDIANA, NEW PALASTINE, IN 43163
(317) 923-1491
Mailing address
821 WINDING BROOK LN, GREENWOOD, IN 46142
(317) 437-2197
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
28160960A
IN
363LF0000X
Family Nurse Practitioner
Primary
71005211A
IN
Other
Enumeration date
10/09/2014
Last updated
09/08/2022
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