Individual
NICOLE PATRICE MYERS
Active
Individual
NICOLE PATRICE MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28208899A
IN
363LA2100X
Acute Care Nurse Practitioner
Primary
71015484A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104449198
ANTHEM PTAN
IN
Enumeration date
05/15/2024
Last updated
10/31/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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