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Individual
NINA CHRISTIE NICOLAS
Active
Individual
NINA CHRISTIE NICOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN713659
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
713659
—
CA
05
—
NP19255
—
CA
Enumeration date
09/11/2009
Last updated
01/06/2012
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