Individual
ROBERTA JEAN NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
424 SAVANNAH RD, LEWES, DE 19958-1462
(302) 645-3300
Mailing address
1179 TIRE HILL RD, JOHNSTOWN, PA 15905-7708
(814) 242-5738
(814) 242-5738
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
L1-0037414
DE
Other
Enumeration date
05/16/2017
Last updated
05/16/2017
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