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Individual
NICKIE L. MCINTIRE
Active
Individual
NICKIE L. MCINTIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN549825
PA
363LF0000X
Family Nurse Practitioner
Primary
SP009577
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2006060
HIGHMARK
PA
Enumeration date
09/25/2007
Last updated
04/20/2012
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