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Nicole Emily Nyberg, NP
Critical Care Neonatal Nurse Practitioner in Supply, North Carolina
NPI 1841615770

Nicole Emily Nyberg is a Critical Care Neonatal Nurse Practitioner based in Charlotte, NC and is specialized in Neonatal, Critical Care. Nicole Emily Nyberg practices in Supply, NC and has the professional credentials of NP. The NPI Number for Nicole Emily Nyberg is 1841615770 and holds a License No. 209.011198 (North Carolina).

The current practice location address for Nicole Emily Nyberg is 20 Medical Campus Dr Nw Ste 205, Supply, NC and can be reached out via phone at 910-721-4400 and via fax at 910-721-4409.

Location: 20 Medical Campus Dr Nw Ste 205, Supply, NC, 28260-0447
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841615770
Provider Name
Nicole Emily Nyberg
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
20 Medical Campus Dr Nw Ste 205, Supply, NC, 28260-0447
Phone Number
910-721-4400
Fax Number
910-721-4409
Provider Enumeration Date
03/01/2014
Last Update Date
08/17/2024
institution
Provider Business Practice Location Address Details
Address
20 Medical Campus Dr Nw Ste 205
City
Supply
State
North Carolina
Zip
28462-4094
Phone Number
910-721-4400
Fax Number
910-721-4409
person
Provider Business Mailing Address Details
Address
20 Medical Campus Dr Nw Ste 205
City
Supply
State
North Carolina
Zip
28462-4094
Phone Number
910-721-4400
Fax Number
910-721-4409
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
5015884 (North Carolina)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Neonatal
Taxonomy
363LN0000X
License No.
0024186415 (Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Neonatal, Critical Care
Taxonomy
363LN0005X
License No.
209.011198 (Illinois)
Definition
Definition to come...
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