Individual
MS. CATHY NICHOLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NO11536800
NJ
363LA2200X
Adult Health Nurse Practitioner
A0610012
NJ
Other
Enumeration date
03/08/2012
Last updated
03/08/2012
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