Individual
MRS. CARLY ELIZABETH NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
7545 BEECHMONT AVE STE N, CINCINNATI, OH 45255-4231
(513) 232-0011
(513) 232-8434
Mailing address
7545 BEECHMONT AVE STE N, CINCINNATI, OH 45255-4231
(513) 232-0011
(513) 232-8434
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP17660
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0138769
—
OH
Enumeration date
06/03/2015
Last updated
10/08/2019
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