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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ALEXA ANN NICKELSON, CNM, WHNP-BC

Active Sole Proprietor

ALEXA ANN NICKELSON, CNM, WHNP-BC is a Midwife healthcare provider located in WAKARUSA, Indiana. NPI 1689470163 is currently active in the NPPES registry. Verify at CMS.

Midwife · WAKARUSA, IN

Registration Details

NPI Number
1689470163
Provider Type
Individual
Gender
Female
NPI Issued
Feb 24, 2025 (1.4894511720109 yrs)
Last Updated
Feb 26, 2025
Licenses
104216827 (IN)
28276535A (IN)
09000490A (IN)
Sole Proprietor
Yes

Practice Information

Address
207 N ELKHART ST
WAKARUSA, IN, 465739729
Browse IN providers · Browse ZIP 46573
Phone
5743900241
Fax
5743939943
Primary Specialty
Midwife
176B00000X
Additional Specialty
Midwife
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.