Nicholson, Heather

Nicholson, Heather is an individual health care provider with primary practice located at 6211 Waterford Blvd , Evansville IN 47715-2869. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Nicholson, Heather can be contacted via phone (812) 465-6202.

Contact Information

Primary practice address
6211 Waterford Blvd Evansville IN 47715-2869
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 71004996A Indiana
Nursing Service Providers / Registered Nurse 163W00000X 28166000A Indiana

Profile Details

NPI number 1356757793
LBN Legal business name Nicholson, Heather
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2014
Last updated Jul 18th, 2023 - about 3 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 1356757793 NPPES
Indiana MEDICAID 201241510

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