Nanci Roth Nilles is a Clinical in Sullivan, Indiana. Nanci Roth Nilles practices all healthcare services and medical treatments related to Clinical. The NPI Number for Nanci Roth Nilles is 1285629493. The last update date is 2011-05-23.
Nanci Roth Nilles's current location address is 2134 Mary Sherman Dr, Sullivan, Indiana. You can contact this provider via phone number 8122686376 and fax number 8122686377. The mailing address for Nanci Roth Nilles is 2134 Mary Sherman Dr, Sullivan, Indiana. To know further, please read the information below!
Provider Profile Detail
Provider Name | Nanci Roth Nilles |
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Address | 2134 Mary Sherman Dr, Sullivan, Indiana |
Phone Number | 8122686376 |
Fax Number | 8122686377 |
Sole Proprietor | N |
Credentials | PSYD |
NPI Number Detail
NPI Number | 1285629493 |
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Provider Enumeration Date | 2005-09-14 |
Last Updated Date | 2011-05-23 |
Provider Mailing Address Detail
Address | 2134 Mary Sherman Dr |
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City | Sullivan |
State | Indiana (IN) |
Post Code | 478827625 |
Phone Number | 8122686376 |
Fax Number | 8122686377 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 103Tc0700X |
Licence No | 20041814A |
Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
200396290 | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Nanci Roth Nilles by the Centers for Medicare & Medicaid Services?
The Nanci Roth Nilles has been assigned the NPI (National Provider Identifier) 1285629493 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Nanci Roth Nilles is physically located?
The Nanci Roth Nilles is physically situated at the following address: 2134 Mary Sherman Dr, Sullivan, IN, 478827625.
What is the Nanci Roth Nilles's area of specialization and corresponding taxonomy classification?
The Nanci Roth Nilles's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
On what date did the Nanci Roth Nilles receive the assignment of its 1285629493 from the Centers for Medicare & Medicaid Services?
The Nanci Roth Nilles was issued its 1285629493 by the Centers for Medicare & Medicaid Services on 2005-09-14.
As of what date were the details related to Nanci Roth Nilles most recently updated or revised?
The information pertaining to Nanci Roth Nilles, including its address, specialty, and other relevant details, was last updated or revised on 2011-05-23.