Individual
NICOLE MICHELLE WAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1210 N 1000 W, LINTON, IN 47441-5013
(812) 847-4481
(844) 658-7526
Mailing address
1185 N 1000 W, LINTON, IN 47441-5282
(812) 847-4481
(844) 658-7526
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71013071A
IN
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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