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Lisa M Nichols, FNP
Family Nurse Practitioner in Chesterton, Indiana
NPI 1063872109

Lisa M Nichols is a Family Nurse Practitioner based in Portage, IN and is specialized in Family. Lisa M Nichols practices in Chesterton, IN and has the professional credentials of FNP. The NPI Number for Lisa M Nichols is 1063872109 and holds a License No. 71006113A (Indiana).

The current practice location address for Lisa M Nichols is 407 W Indiana Ave, Chesterton, IN and can be reached out via phone at 219-763-8112 and via fax at 219-764-5380.

Location: 407 W Indiana Ave, Chesterton, IN, 46368-9230
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063872109
Provider Name
Lisa M Nichols
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
407 W Indiana Ave, Chesterton, IN, 46368-9230
Phone Number
219-763-8112
Fax Number
219-764-5380
Provider Enumeration Date
03/02/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201348700 05 IN
institution
Provider Business Practice Location Address Details
Address
407 W Indiana Ave
City
Chesterton
State
Indiana
Zip
46304-2350
Phone Number
219-763-8112
Fax Number
219-764-5380
person
Provider Business Mailing Address Details
Address
407 W Indiana Ave
City
Chesterton
State
Indiana
Zip
46304-2350
Phone Number
219-763-8112
Fax Number
219-764-5380
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
71006113A (Indiana)
Definition
Definition to come...
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