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Individual

BETH D. NICHOLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NNP

Contact information

Practice address
4401 WORNALL ROAD, KANSAS CITY, MO 64111-3220
(816) 392-2000
Mailing address
1301 CONCORD TERRACE, SUNRISE, FL 33323-2826
(800) 243-3839

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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