Individual
NICOLE K GREIVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
550 UNIVERSITY BLVD, INDIANAPOLIS, IN 46202-5149
(317) 944-5000
(317) 944-1289
Mailing address
250 N SHADELAND AVE, STE 130 - PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
71003320A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200991110
—
IN
Enumeration date
08/16/2010
Last updated
02/14/2025
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