Individual
MS. TANYA A NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN CDE
Contact information
Practice address
5205 GREENWOOD AVE, 110, WEST PALM BEACH, FL 33407-2400
(561) 803-8880
(561) 803-8899
Mailing address
4858 S CLASSICAL BLVD, DELRAY BEACH, FL 33445-1235
(561) 637-8749
(561) 803-8899
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
RN9206105
FL
Other
Enumeration date
04/28/2010
Last updated
04/28/2010
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