Individual
NICHOLAS FOGLE
Active
Individual
NICHOLAS FOGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NNP
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
2020003121
MO
363LN0000X
Neonatal Nurse Practitioner
Primary
2026040577
MO
Other
Enumeration date
05/25/2026
Last updated
08/26/2026
Update your record
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