Individual
BETH D. NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
56774
KS
363LN0000X
Neonatal Nurse Practitioner
Primary
098597
MO
363LN0000X
Neonatal Nurse Practitioner
44413
KS
Other
Enumeration date
12/15/2008
Last updated
12/15/2008
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