Individual
NICOLE MARIE NEIDHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP, CNM
Contact information
Practice address
45088 TACKEL LN, CALLAHAN, FL 32011-6692
(904) 371-6724
(904) 371-6724
Mailing address
PO BOX 1506, CALLAHAN, FL 32011-1506
(904) 371-6724
(904) 371-6724
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
3317462
FL
367A00000X
Advanced Practice Midwife
3317462
FL
Other
Enumeration date
08/30/2006
Last updated
11/18/2025
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