IndividualActive
Shana Nicholson, RN
NPI 1740954296 · Diabetes Educator Registered Nurse · Louisville, KY
Provider details
- NPI number
- 1740954296
- Entity type
- Individual
- Primary specialty
- Diabetes Educator Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- 28200689A (IN)
Specialties & taxonomies
Nursing Service Providers
Practice location
4000 Kresge Way
Louisville, KY 40207-4605
Phone: (502) 897-8831
Approximate (ZIP-level) locationGet directions
Mailing address
4000 Kresge Way
Louisville, KY 40207-4605
Registry dates
- Enumerated
- 2021-08-06
- Last updated
- 2021-08-06
- Certified
- 2021-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.