Healthcare Provider Details

I. General information

NPI: 1225282049
Provider Name (Legal Business Name): NICOLE M SHERER ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/06/2008
Last Update Date: 06/20/2025
Certification Date: 05/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

124 SAGAMORE PKWY W
WEST LAFAYETTE IN
47906-1569
US

IV. Provider business mailing address

2845 PGA BLVD
PALM BEACH GARDENS FL
33410-2910
US

V. Phone/Fax

Practice location:
  • Phone: 765-463-6722
  • Fax: 765-463-0905
Mailing address:
  • Phone: 407-875-2080
  • Fax: 407-650-3455

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP9436144
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71002790A
License Number StateIN
# 3
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number71002790A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: