NPI | 1164825980 |
---|---|
Former Name | RACHEL GRACE NICHOLS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD AC004422) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9352408) |
163W00000X Registered Nurse (Licence: NY 663583) | |
163W00000X Registered Nurse (Licence: OR 201041626RN) | |
163W00000X Registered Nurse (Licence: HI RN73237) | |
163W00000X Registered Nurse (Licence: AZ RN148824) | |
163W00000X Registered Nurse (Licence: DC RN1026736) | |
163W00000X Registered Nurse (Licence: CA 852018) | |
363LF0000X Nurse Practitioner, Family (Licence: DC NP1026736) | |
363LF0000X Nurse Practitioner, Family (Licence: VA 0024183895) | |
Enumeration Date | 2014-10-07 |
Last Update Date | 2024-08-22 |