Nicole Leigh Fornalik, PA-C

NPI #1982635587 in Indianapolis, Indiana

Provider Information

NPI Number: 1982635587
Entity Type: Individual
Name: Nicole Leigh Fornalik, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jul 5, 2006
Last Updated: Jul 15, 2025

Practice Location

Address: 8040 CLEARVISTA PKWY STE 490
City: Indianapolis
State: Indiana
ZIP Code: 46256-5604
Phone: (317) 621-5450

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Surgical — Surgical	363AS0400X
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant	363A00000X	Primary

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