Provider Demographics
NPI:1427332477
Name:PASINSKI NICHOLS, CINDY JO (APRN)
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:JO
Last Name:PASINSKI NICHOLS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:CINDY
Other - Middle Name:JO
Other - Last Name:PASINSKI NICHOLS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:208 HOPKINS LN
Mailing Address - Street 2:
Mailing Address - City:JEFFERSONVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47130-5026
Mailing Address - Country:US
Mailing Address - Phone:502-544-8360
Mailing Address - Fax:
Practice Address - Street 1:6002 BROWNSBORO PARK BLVD
Practice Address - Street 2:STE E
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-1298
Practice Address - Country:US
Practice Address - Phone:502-425-0500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-07
Last Update Date:2014-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3007153363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily