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Individual
NICOLE CHADWICK
Active
Individual
NICOLE CHADWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
880480
TX
363LF0000X
Family Nurse Practitioner
1017174
TX
363LF0000X
Family Nurse Practitioner
Primary
11010948
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
10/27/2020
Last updated
09/21/2022
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