Provider Demographics
NPI:1891460507
Name:MORE, NIDHI NITIN (DNP, APRN, AGACNP-BC)
Entity Type:Individual
Prefix:DR
First Name:NIDHI
Middle Name:NITIN
Last Name:MORE
Suffix:
Gender:F
Credentials:DNP, APRN, AGACNP-BC
Other - Prefix:
Other - First Name:RUPALI
Other - Middle Name:AVINASH
Other - Last Name:WALINJKAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13314 CAIN LN
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40245-2141
Mailing Address - Country:US
Mailing Address - Phone:502-494-7373
Mailing Address - Fax:
Practice Address - Street 1:13314 CAIN LN
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40245-2141
Practice Address - Country:US
Practice Address - Phone:502-494-7373
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-13
Last Update Date:2021-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1141203163W00000X
KY3016518363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163W00000XNursing Service ProvidersRegistered Nurse