NICOLLE HORAITIS

DOTHAN, AL
NPI1023820388
Former NameNICOLLE STAFFORD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: AL  1-152350)
Enumeration Date2025-01-23
Last Update Date2025-08-26
Business Address
NICOLLE HORAITIS CRNP
1108 ROSS CLARK CIR # 4
DOTHAN, AL 36301-3022
Phone number: 334-355-1706
Mailing Address
NICOLLE HORAITIS CRNP
108 PARK DR
ABBEVILLE, AL 36310-2612
Phone number: 334-355-1706
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