Doctor Name: | MRS. NICOLE LYN SPRINGER |
NPI Number: | 1710184528 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OTR |
License Number: | 31001794A |
Business Practice Address: | 1203 Washington St La Porte, IN - 463503221 |
Business Phone Number: | 2193255424 |
Business Fax Number: | 2193262697 |
Mailing Address: | 212 Maple St, THREE OAKS |
State: | MI |
Postal Code: | 491281137 |
Phone Number: | 2697562236 |
Fax Number: | |
NPI Enumeration Date: | 06/27/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 31001794A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |