Healthcare Provider Details

I. General information

NPI: 1124711932
Provider Name (Legal Business Name): APRIL NIKOLOSKI MSN, AGCNS-BC, APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2023
Last Update Date: 05/29/2023
Certification Date: 05/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 S MAIN ST
CROWN POINT IN
46307-8481
US

IV. Provider business mailing address

4575 E 104TH AVE
CROWN POINT IN
46307-7407
US

V. Phone/Fax

Practice location:
  • Phone: 219-757-6013
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License Number28185273A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: