REBECCA LYNN MCNICOL FNP - NPI 1174039358 - Nurse Practitioner in Glen Allen, VA

Q: What is Rebecca Mcnicol's NPI number?

The NPI number for Rebecca Mcnicol is 1174039358. It was assigned to this individual provider in the NPPES registry on December 25, 2017.

Q: What is Rebecca Mcnicol's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Rebecca Mcnicol was last updated on December 25, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Rebecca Lynn Mcnicol Fnp NPPES

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

REBECCA LYNN MCNICOL FNP (NPI 1174039358) is an individual pediatrics provider in Glen Allen, Virginia, licensed in Virginia (0024175314) and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1174039358

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameREBECCA LYNN MCNICOLCredential: FNP

Location Address10571 TELEGRAPH RD STE 110Glen Allen, VA 23059-4652

Mailing Address9419 Charter Gate DrMechanicsville, VA 23116-5171 · (804) 426-3353

Phone(804) 266-9616

Fax(804) 261-4935

Sole ProprietorNo

Enumeration DateDecember 25, 2017

✔ NPI 1174039358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LP0200X

License✔ Licensed in VA · 0024175314

10571 TELEGRAPH RD STE 110, Glen Allen, VA 23059

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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMANTHA MACIOLEK

Nurse Practitioner (Primary Care)