TRACI LYNN NICKELSON

CHANTILLY, VA
NPI1831624956
Former NameTRACI LYNN BYERLY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OH  APRN.CNP.020218)
Enumeration Date2017-04-26
Last Update Date2017-04-26
Business Address
Mrs. TRACI LYNN NICKELSON CNP-BC
14121 PARKE LONG CT STE 201
CHANTILLY, VA 20151-1647
Phone number: 855-247-1940
Mailing Address
Mrs. TRACI LYNN NICKELSON CNP-BC
802 SPENCER ST
TOLEDO, OH 43609-3030
Phone number: 419-203-3252
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