Individual
TRACY NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1096 LONG BR, ARGILLITE, KY 41121-8593
(606) 831-4148
Mailing address
1096 LONG BR, ARGILLITE, KY 41121-8593
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
1128427
KY
Other
Enumeration date
12/16/2013
Last updated
12/16/2013
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