Individual
STACY NICOLE NICOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3909 NEW VISION DR, FORT WAYNE, IN 46845-1725
(260) 469-6610
(260) 969-3065
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28147485A
IN
363L00000X
Nurse Practitioner
Primary
71016044A
IN
Other
Enumeration date
10/21/2024
Last updated
03/03/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us