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NPI Code Detail

MEDICARE: NICOLE ELISE NUGENT WHNP-BC

MEDICARE: NICOLE ELISE NUGENT WHNP-BC
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
1363LW0102XWomen's Health Nurse PractitionerAPRN.CNP.0041885OH
2363LW0102XWomen's Health Nurse Practitioner1059436TX
3363LW0102XWomen's Health Nurse PractitionerNP500007711DC
4363LW0102XWomen's Health Nurse PractitionerAC004426MD
5363LW0102XWomen's Health Nurse Practitioner0024184722VA
6363LW0102XWomen's Health Nurse PractitionerAP61403221WA
7363LW0102XWomen's Health Nurse PractitionerRNP304387AZ
8363LW0102XWomen's Health Nurse Practitioner9569CT
9363LW0102XWomen's Health Nurse PractitionerAPRN11021192FL
10363LW0102XWomen's Health Nurse Practitioner41865TN
11363LW0102XWomen's Health Nurse PractitionerNUR-APRN-LIC-198958MT

General Provider Information

NPI Number : 1487164992
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE ELISE NUGENT WHNP-BC
Provider Business Mailing Address
First Line : 930 3RD ST
Second Line :
City : GREENSBORO
State : NC
Zip : 27405-6967
Country : US
Telephone Number : 336-890-3200
Fax Number : 336-890-3290
Provider Business Practice Location Address
First Line : 3815 E BELL RD STE 3200
Second Line :
City : PHOENIX
State : AZ
Zip : 85032-2162
Country : US
Telephone Number : 855-850-0638
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2017
Last Update Date : 06/03/2026

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