NICHOLE MARIE SHORT
NPI 1053134072
Nurse Practitioner - Family in Perry, OH

Q: What is Nichole Short's NPI number?

The NPI number for Nichole Short is 1053134072. It was assigned to this individual provider in the NPPES registry on November 7, 2024.

Q: What is Nichole Short's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Nichole Short was last updated on November 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 07, 2024

4343 MILL POND CIR, PERRY, OH 44081(440) 251-5665 Get Directions Write a Review

NPPES record last updated: November 7, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Nichole Marie Short NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHOLE MARIE SHORT (NPI 1053134072) is an individual family provider in Perry, Ohio, licensed in Ohio (F10241144) and active in the NPI registry since November 2024.

NPPES Registry Identity

NPI1053134072

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameNICHOLE MARIE SHORT

Location Address4343 MILL POND CIRPerry, OH 44081-9545

Mailing Address4343 Mill Pond CirPerry, OH 44081-9545 · (440) 251-5665

Phone(440) 251-5665

Sole ProprietorNo

Enumeration DateNovember 7, 2024

NPPES CertifiedNovember 4, 2024

✔ NPI 1053134072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in OH · F10241144

4343 MILL POND CIR, Perry, OH 44081

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nichole Short's NPI number?

The NPI number for Nichole Short is 1053134072. It was assigned to this individual provider in the NPPES registry on November 7, 2024.

Where is Nichole Short located?

Nichole Short practices at 4343 Mill Pond Cir, Perry, OH 44081. The listed phone number is (440) 251-5665.

What is Nichole Short's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Nichole Short was last updated on November 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.