Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE LEIGH FORNALIK, PA-C
ActiveNICOLE LEIGH FORNALIK, PA-C is a Physician Assistant healthcare provider located in INDIANAPOLIS, Indiana. NPI 1982635587 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · INDIANAPOLIS, IN
Registration Details
- NPI Number
- 1982635587
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 5, 2006 (20.094273664308 yrs)
- Last Updated
- Jul 15, 2025
- Licenses
-
10000784A (IN)10000784A (IN)10000784A (IN)
Practice Information
- Address
-
8040 CLEARVISTA PKWY STE 490INDIANAPOLIS, IN, 462565604Browse IN providers · Browse ZIP 46256
- Phone
- 3176215450
- Fax
- 3176215453
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Medical Physician Assistant
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in INDIANAPOLIS, IN
| Name | Credential | NPI |
|---|---|---|
| DONALD G MUNSON | PA | 1902898901 |
| ANDREW FREDERICK SHAAR | PA-C | 1659364792 |
| MR. TIMOTHY BARNARD | PA-C | 1427044056 |
| LAURA E BUENING | PA-C | 1972586485 |
| MS. CHRISTINA RACE | PA-C | 1003895400 |
| JILL M ELEFTHERI | PA-C | 1467431643 |
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.