Individual
KIRA NICKOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
345 SAINT PAUL ST, BALTIMORE, MD 21202-2123
(410) 332-9000
Mailing address
15 BLONDELL CT, TIMONIUM, MD 21093-2003
(443) 629-6031
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R192096
MD
Other
Enumeration date
09/26/2024
Last updated
11/26/2025
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