CAITLYN NICOLE NICHOLS PNP NPI 1598225815

NPI Information

NPI: 1598225815
Provider Name: CAITLYN NICOLE NICHOLS, PNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
330 OAK TERRACE BLVD
HOLLAND, OH
ZIP 43528
Phone: (567) 318-4001
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Caitlyn Nicole Nichols, PNP is a pediatrics nurse practitioner in Holland, OH. Caitlyn Nicole Nichols, PNP NPI is 1598225815. 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:

330 OAK TERRACE BLVD
HOLLAND, OH
ZIP 43528-993
Phone: (567) 318-4001
Fax: (419) 225-8878

The NPI 1598225815 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 3/22/2019 and was last updated on 3/22/2019.

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	363LP0200X	Nurse Practitioner	Pediatrics	NP.024298	OHIO	Yes
2	363LP0200X	Nurse Practitioner	Pediatrics	4704314973	MICHIGAN	No

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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