Mr. Michael Paul Nickell, NURSEPRACTITIONER
Mr. Michael Paul Nickell, NURSEPRACTITIONER is a Nurse Practitioner in Caldwell, Ohio. Qualified in 2022, 4 years ago. Licensed in Ohio.
- Years since qualifying
- 4
- Licensed in
- OH
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
15708 McConnellsville RdCaldwell, OH 43724-9678
Phone: (740) 305-1312
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence APRN.CNP.0031075 (OH) |
|---|---|
| General Practice Registered Nurse | Taxonomy 163WG0000X · Licence RN.431204 (OH) |
Record details
| NPI number | 1073264297 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | NURSEPRACTITIONER |
| Sole proprietor | No |
| NPI enumerated | January 11, 2022 |
| Last updated in NPPES | March 28, 2022 |
| Certification date | March 28, 2022 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Accepts Medicare assignment | Not indicated |