Myles, Holly Nicole

Myles, Holly Nicole is an individual health care provider with primary practice located at 3750 Landmark Drive Suite A, Lafayette IN 47905-6633. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Myles, Holly Nicole can be contacted via phone (765) 448-4511.

Contact Information

Primary practice address
3750 Landmark Drive Suite A Lafayette IN 47905-6633
Phone: (765) 448-4511
Fax: (765) 447-8375
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 71002110A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71002110A Indiana

Profile Details

NPI number 1922037811
LBN Legal business name Myles, Holly Nicole
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2006
Last updated May 17th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922037811 NPPES
Indiana Other 000000668422 ANTHEM PROVIDER NUMBER
Indiana MEDICAID 200844660 ANTHEM PROVIDER NUMBER

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