Provider Demographics
NPI:1720433352
Name:COLE, NISCHI MICHELLE (REGISTERED NURSE)
Entity Type:Individual
Prefix:MRS
First Name:NISCHI
Middle Name:MICHELLE
Last Name:COLE
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6037 ELBROOK AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45237-4722
Mailing Address - Country:US
Mailing Address - Phone:513-254-4333
Mailing Address - Fax:513-721-6072
Practice Address - Street 1:6037 ELBROOK AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45237-4722
Practice Address - Country:US
Practice Address - Phone:513-254-4333
Practice Address - Fax:513-721-6072
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-02
Last Update Date:2016-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH401279163W00000X, 163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WH0200XNursing Service ProvidersRegistered NurseHome Health