NICOLE MARIE NEIDHART ARNP CNM NPI 1750490819

NPI Information

NPI: 1750490819
Provider Name: NICOLE MARIE NEIDHART, ARNP, CNM
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

PECOS Registration: Yes

Address:
915 W MONROE ST STE 100
JACKSONVILLE, FL
ZIP 32204
Phone: (904) 518-1398
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Nicole Marie Neidhart, ARNP, CNM is a women's health nurse practitioner in Jacksonville, FL. Nicole Marie Neidhart, ARNP, CNM NPI is 1750490819. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

915 W MONROE ST STE 100
JACKSONVILLE, FL
ZIP 32204-177
Phone: (904) 518-1398
Fax: (904) 394-2811

The NPI 1750490819 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 3/12/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	367A00000X	Advanced Practice Midwife		3317462	FLORIDA	No
2	363LW0102X	Nurse Practitioner	Women's Health	3317462	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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