Individual
MR. NICHOLAS ANDREW ERVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1701 LACEY ST, CAPE GIRARDEAU, MO 63701-5230
(573) 331-6431
Mailing address
1701 LACEY ST, CAPE GIRARDEAU, MO 63701-5230
(573) 331-6431
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2018025014
MO
Other
Enumeration date
07/31/2018
Last updated
10/31/2024
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