Nicole Marie Neidhart

ARNP, CNM | Nurse Practitioner | 22+ years Exp

45088 Tackel Ln, Callahan
  Florida, 32011-6692
904-371-6724
Accepts Medicare Nurse Anesthetist in Callahan, Florida.
Nicole Marie Neidhart is a Callahan, Florida based nurse practitioner with 22 years of experience in Nurse Practitioner. She completed her graduation in 2003. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Nicole Marie Neidhart is 3317462 for Women Health in Florida. Her current practice location is 45088 Tackel Ln, Callahan. Patients can reach her at 904-371-6724 or can fax her at 904-371-6724. Nicole Marie Neidhart is ARNP, CNM with specialization in Nurse Practitioner and her NPI number (Unique professional ID assigned by NPPES) is 1750490819.
Nicole Marie Neidhart has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Nicole Marie Neidhart speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Nicole Marie Neidhart
Specialization: Nurse Practitioner Nurse Practitioner (NP)
Gender:Female
Credentials: ARNP, CNM
Experience: 22+ years
Medical School Attended:Other
Graduation Year:2003
Accepts Medicare Assignment:Yes
Practice Address:45088 Tackel Ln, Callahan,
Florida, 32011-6692
Phone:904-371-6724
Fax:904-371-6724
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 2860593555
Enrollment ID: I20070725000304
NPI Number: 1750490819
NPI Enumeration Date: 30 Aug, 2006
NPI Last Update On: 18 Nov, 2025

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nicole Marie Neidhart are as mentioned below.
License NumberSpecializationStateStatus
3317462Women Health FloridaPrimary
3317462Advanced Practice Midwife FloridaSecondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) State Hospital Type
(100117)Jacksonville beach, FLAcute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name with which Nicole Marie Neidhart is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Duval Vascular Center Llc (6305131251)3
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Nicole Marie Neidhart
Po Box 1506,
Callahan, Florida
Zip: 32011-1506
Phone Number: 904-371-6724
Fax Number: 904-371-6724
Patients can reach Nicole Marie Neidhart at 45088 Tackel Ln, Callahan, Florida or can call to book an appointment on 904-371-6724.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.