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NPI Code Detail

MEDICARE: MRS. NICOLE MENARD TROELSTRUP

MEDICARE: MRS. NICOLE MENARD TROELSTRUP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorMH14655FL

General Provider Information

NPI Number : 1275922106
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NICOLE MENARD TROELSTRUP
Provider Business Mailing Address
First Line : 224 E 6TH AVE
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32303-6208
Country : US
Telephone Number : 850-270-3454
Fax Number :
Provider Business Practice Location Address
First Line : 224 E 6TH AVE
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32303-6208
Country : US
Telephone Number : 850-270-3454
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2015
Last Update Date : 06/04/2026

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Directions to “ MRS. NICOLE MENARD TROELSTRUP ” Practice Location

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