| Provider / Organization | NPI | Date Certified |
|---|---|---|
| PRATIBHA NIGAM | 1750663993 | 2022-11-20 |
Pratibha Nigam is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1750663993. Registration indicates Pratibha Nigam is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Family, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Family, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| Entity Type | Individual |
| Provider Name | Pratibha Nigam APRN CNP |
| Practice Office Address | 5915 N MAIN ST DAYTON, OH US |
| Practice Office Telephone | 9372783826 |
| Mailing Address | 1852 TREBEIN RD XENIA, OH 453858573 US |
| Business Telephone | 9373710700 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 3165 Dayton Xenia Rd | Beavercreek, OH 454346309 | 9379120500 |
| Code | Practice | License No State |
|---|---|---|
| 363LF0000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Family All Other Specialties & Provider Types Nurse Practitioner Family Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 0031824
OH |