NATHAN D. NICOLA

FORT WAYNE, IN
NPI1154956209
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  71009821A)
Enumeration Date2020-03-10
Last Update Date2020-10-15
Business Address
NATHAN D. NICOLA NP
6511 E STATE BLVD
FORT WAYNE, IN 46815-7026
Phone number: 260-425-2725
Mailing Address
NATHAN D. NICOLA NP
6920 POINTE INVERNESS WAY STE 200
FORT WAYNE, IN 46804-7934
Phone number: 260-479-3516
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