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Individual
MS. KARI CRETELLA NICKOU
Active
Individual
MS. KARI CRETELLA NICKOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN,CS
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
RN169922
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110110173A
—
MA
Enumeration date
06/03/2006
Last updated
10/23/2017
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