Individual
NICOLE J BLICHMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
340 W 10TH ST, INDIANAPOLIS, IN 46202-3082
(317) 274-8157
Mailing address
912 LOGAN AVE, LAFAYETTE, IN 47905-1828
(765) 427-5091
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
IN
Other
Enumeration date
04/10/2023
Last updated
04/19/2023
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