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Individual
NICHOLE FLYNN
Active
Individual
NICHOLE FLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN574279
PA
363LF0000X
Family Nurse Practitioner
Primary
SP015190
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F06151546
AMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION
—
Enumeration date
12/09/2015
Last updated
08/09/2017
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