MRS. NICOLE VAN COMSTOCK ACNP-BC NPI 1578862785

NPI Information

  • NPI: 1578862785
  • Provider Name: MRS. NICOLE VAN COMSTOCK, ACNP-BC
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3211 N NORTHHILLS BLVD
    SUITE 110
    FAYETTEVILLE, AR
    ZIP 72703
  • Phone: (479) 571-4338

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NPI Details

MRS. Nicole Van Comstock, ACNP-BC is an acute care nurse practitioner in Fayetteville, AR. MRS. Nicole Van Comstock, ACNP-BC NPI is 1578862785. 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:

3211 N NORTHHILLS BLVD
SUITE 110
FAYETTEVILLE, AR
ZIP 72703-007
Phone: (479) 571-4338
Fax: (479) 695-3767

The NPI 1578862785 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, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/28/2011 and was last updated on 3/28/2011.

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
1363LA2100XNurse PractitionerAcute CareA03517 ANPARKANSASYes

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: 11/21/2025

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