Individual
CATHI THERESA NICKLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
8767 WILSHIRE BLVD FL 3, BEVERLY HILLS, CA 90211-2714
(424) 315-2728
(424) 315-2729
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
(424) 315-2728
(424) 315-2729
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
F336229
NY
363LF0000X
Family Nurse Practitioner
Primary
NP16307
CA
Other
Enumeration date
12/11/2006
Last updated
03/14/2023
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