Individual
MRS. NICOLE MARIE RECTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
2525 W UNIVERSITY AVE, SUITE 404, MUNCIE, IN 47303-3421
(765) 231-9494
Mailing address
12109 W NATIVE TRL, YORKTOWN, IN 47396-9126
(765) 749-1254
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
20142936
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201328850
—
IN
Enumeration date
10/26/2015
Last updated
02/14/2017
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