IndividualActive
Nichole Short
NPI 1053134072 · Family Nurse Practitioner · Perry, OH
Provider details
- NPI number
- 1053134072
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- F10241144 (OH)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
4343 Mill Pond Cir
Perry, OH 44081-9545
Phone: (440) 251-5665
Approximate (ZIP-level) locationGet directions
Mailing address
4343 Mill Pond Cir
Perry, OH 44081-9545
Registry dates
- Enumerated
- 2024-11-07
- Last updated
- 2024-11-07
- Certified
- 2024-11-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.