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1508040452
AMANDA M NICOLA
MORGANTOWN, WV
NPI
1508040452
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: WV 63245)
Enumeration Date
2007-12-27
Last Update Date
2012-02-27
Business Address
-- AMANDA M NICOLA CPNP
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26506
Phone number: 304-598-4800
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Mailing Address
-- AMANDA M NICOLA CPNP
PO BOX 780
MORGANTOWN, WV 26507-0780
Phone number: 304-285-7101
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