Provider Demographics
NPI:1871037770
Name:FARRELL, NIKOLE E (FNP-C)
Entity type:Individual
Prefix:MS
First Name:NIKOLE
Middle Name:E
Last Name:FARRELL
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 CLIFFMINE RD STE 500
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15275-1053
Mailing Address - Country:US
Mailing Address - Phone:878-201-3312
Mailing Address - Fax:878-201-3584
Practice Address - Street 1:2000 CLIFFMINE RD STE 500
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15275-1053
Practice Address - Country:US
Practice Address - Phone:878-201-3312
Practice Address - Fax:878-201-3584
Is Sole Proprietor?:No
Enumeration Date:2016-12-12
Last Update Date:2025-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP017135363L00000X
FLARNP 9353589363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily