Patricia Diane Nicholson, FNP
Individual provider Active NPI Family Nurse Practitioner · Akron, IN
NPI 1821032426 · NPPES record last updated Aug 28, 2009
Key facts
- NPI
- 1821032426
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 28061461A (IN)
- Practice address
- 104 W. Rochester Street
Akron, IN 46910 - Phone
- (574) 372-3800
- NPI assigned
- Jun 15, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28061461A | IN | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 28061461A | IN | Yes |
Addresses
Primary practice location
104 W. Rochester Street
Akron, IN 46910
Mailing address
PO Box 966
Warsaw, IN 46580
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200078320 | Medicaid | IN |
Other providers in Akron, IN
- Mark S. Harris
- Melanie a Beam DDS PC
- James E. Morgan
- Maureen A Neeley
- Francisco Negreros-Castillo
- Michael E Person
- Elizabeth Rodriguez
- Jesse Porter Shultz
- Renee Kathleen Shultz
- Tippecanoe Valley School Corporation
All providers in Akron, IN · Family Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.