Individual
NICHOLE AMICUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
3535 OLENTANGY RIVER RD, COLUMBUS, OH 43214-3908
(614) 566-5000
Mailing address
5400 FRANTZ RD, STE 250, DUBLIN, OH 43016-4144
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRNCNP019732
OH
Other
Enumeration date
09/15/2016
Last updated
01/25/2022
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