Provider Demographics
NPI:1528075306
Name:COHEN, NICOLE ALTHEA (RNC MSN WHNP)
Entity type:Individual
Prefix:MRS
First Name:NICOLE
Middle Name:ALTHEA
Last Name:COHEN
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Gender:F
Credentials:RNC MSN WHNP
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Mailing Address - Street 1:5839 E WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46219-6560
Mailing Address - Country:US
Mailing Address - Phone:317-353-9777
Mailing Address - Fax:317-357-6922
Practice Address - Street 1:5839 E WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46219-6560
Practice Address - Country:US
Practice Address - Phone:317-353-9777
Practice Address - Fax:317-357-6922
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2014-05-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN71004403A363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner