Provider Demographics
NPI:1457829418
Name:PATEL, NIMISHA M (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:MRS
First Name:NIMISHA
Middle Name:M
Last Name:PATEL
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1316 SW VALLEY VIEW DR APT 11
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66615-1489
Mailing Address - Country:US
Mailing Address - Phone:217-418-5787
Mailing Address - Fax:
Practice Address - Street 1:3310 SE 29TH ST
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66605-2090
Practice Address - Country:US
Practice Address - Phone:785-270-7444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-07
Last Update Date:2018-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS5378379071363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily