Individual
HANNAH NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4503 MAIN ST STE 1, SHALLOTTE, NC 28470-4583
(910) 754-2273
(910) 754-2254
Mailing address
156 BONNIE B LN, SHALLOTTE, NC 28470-0016
(910) 736-0709
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AG01240073
NC
363LP2300X
Primary Care Nurse Practitioner
AG01240073
NC
Other
Enumeration date
01/30/2024
Last updated
01/30/2024
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