Individual
MS. SHANA NICOLE NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
8338 VETERANS HWY STE 204A, MILLERSVILLE, MD 21108-2603
(410) 705-4422
(205) 855-0617
Mailing address
7933 ANNAPOLIS RD # 1054, LANHAM, MD 20706-1309
(410) 705-4422
(205) 855-0617
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R213445
MD
Other
Enumeration date
01/02/2023
Last updated
02/23/2024
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