Doctor Name: | NICHOLE L POURIER |
NPI Number: | 1285617522 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 110663 |
Business Practice Address: | 300 Shelton St Chadron, NE - 693372312 |
Business Phone Number: | 3084324441 |
Business Fax Number: | 3084324446 |
Mailing Address: | 825 Centennial Dr, CHADRON |
State: | NE |
Postal Code: | 693379400 |
Phone Number: | 3084320264 |
Fax Number: | |
NPI Enumeration Date: | 11/21/2005 |
NPI Last Update Date: | 05/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP2300X |
License Number: | 110663 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |