Provider Demographics
NPI:1710230388
Name:MOHR-ESLINGER, NICOLE LOIS (CPNP)
Entity Type:Individual
Prefix:MS
First Name:NICOLE
Middle Name:LOIS
Last Name:MOHR-ESLINGER
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8010 E 75TH ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46256-2003
Mailing Address - Country:US
Mailing Address - Phone:317-292-7561
Mailing Address - Fax:
Practice Address - Street 1:8010 E 75TH ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46256-2003
Practice Address - Country:US
Practice Address - Phone:317-292-7561
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-19
Last Update Date:2012-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN20071510363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics