Nichole Marie Short, is a
Nurse Practitioner - Family based in Perry, Ohio. Nichole Marie Short is licensed to practice in Ohio (license number F10241144) and her current practice location is
4343 Mill Pond Cir, Perry, Ohio. She can be reached at her office (for appointments etc.) via phone at
(440) 251-5665.
NPI number for Nichole Marie Short is 1053134072 and her current mailing address is 4343 Mill Pond Cir, Perry, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053134072.
Provider's Profile
Full Name | Nichole Marie Short |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 4343 Mill Pond Cir, Perry, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1053134072
- Provider Enumeration Date: 11/07/2024
- Last Update Date: 11/07/2024
Medical Identifiers
Medical identifiers for Nichole Marie Short such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053134072 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | F10241144 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nichole Marie Short is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Nichole Marie Short, 4343 Mill Pond Cir, Perry, OH 44081-9545 Ph: (440) 251-5665 | Nichole Marie Short, 4343 Mill Pond Cir, Perry, OH 44081-9545 Ph: (440) 251-5665 |
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