NICOLE FORNALIK, PA-C
Physician Assistant
Active
Individual
NPI: 1982635587
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Surgical | 363AS0400X | No | 10000784A (IN) |
| Physician Assistant - Medical | 363AM0700X | No | 10000784A (IN) |
| Physician Assistant | 363A00000X | Yes | 10000784A (IN) |
Frequently Asked Questions
NPI 1982635587 is the National Provider Identifier for NICOLE FORNALIK, PA-C, a Physician Assistant provider located in Indianapolis, IN. This NPI was enumerated on July 5, 2006.
NICOLE FORNALIK, PA-C practices at 8040 CLEARVISTA PKWY STE 490, Indianapolis, IN 46256.
Quick Facts
- NPI
- 1982635587
- Type
- Individual
- Enumerated
- Jul 5, 2006
- Last Updated
- Jul 15, 2025
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