Individual
NICOLLE HORAITIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1108 ROSS CLARK CIR # 4, DOTHAN, AL 36301-3022
(334) 355-1706
Mailing address
108 PARK DR, ABBEVILLE, AL 36310-2612
(334) 355-1706
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-152350
AL
Other
Enumeration date
01/23/2025
Last updated
08/26/2025
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