| NPI | 1528213386 |
|---|---|
| Former Name | NANCY E NICHOLAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: WA AP30006085) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP30006085) |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2019-04-19 |