Individual
MARYANN MCCULLOUGH NIKANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
65 W STREET RD, SUITE B-104, WARMINSTER, PA 18974-3226
(215) 672-4327
(215) 646-0565
Mailing address
65 W STREET RD, SUITE B-104, WARMINSTER, PA 18974-3226
(215) 672-4327
(215) 646-0565
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
AT-000394-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130578
MEDICARE PTAN
—
01
—
1770752511
GROUP NPI
—
Enumeration date
09/06/2006
Last updated
07/09/2015
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