Theodore, Nicole Michelle

Theodore, Nicole Michelle is an sole proprietor health care provider with primary practice located at 8221 Provident Street , Philadelphia PA 19150. She recently has only one registered license in Nursing Service Providers / Wound Care, which is considered as her primary health care specialty. Theodore, Nicole Michelle can be contacted via phone (267) 338-6382.

Contact Information

Primary practice address
8221 Provident Street Philadelphia PA 19150
Phone: (267) 338-6382
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Wound Care 163WW0000X RN615831 Pennsylvania

Profile Details

NPI number 1588512776
LBN Legal business name Theodore, Nicole Michelle
Credentials REGISTERED NURSE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 21st, 2026
Last updated Mar 21st, 2026 - about 7 months 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.

Request for update

Popular Providers